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GRANT MEMORIAL HOMECARE AND HOSPICE, LLC

Hospice, Inpatient

Petersburg, West Virginia

Provider NPI: 1053579102

Organization Information:
Organization Name:  GRANT MEMORIAL HOMECARE AND HOSPICE, LLC


Practice Location:
100 HOSPITAL DRIVE SUITE 2 PETERSBURG, WV 26847 US
Tel: 304-257-2005  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N315D00000XNursing & Custodial Care Facilities
Hospice, Inpatient
Y251G00000XAgencies
Hospice Care, Community Based
WV16

Other Provider Identifiers:

IssuerNumberStateType
3810013853WV05
MEDICAID - NURSING HOME3810013879WV01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




HOSPICE JOBS WV - Page 1



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