Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CarePOTOMAC COMPREHENSIVE DIAGNOSTIC AND GUIDANCE CENTER INC
Intermediate Care Facility, Mentally Retarded
Romney, West Virginia
Provider NPI: 1619052750
Organization Information:Organization Name: POTOMAC COMPREHENSIVE DIAGNOSTIC AND GUIDANCE CENTER INC
Practice Location:
ONE BLUE STREET ROMNEY, WV 26757 US
Tel: 304-822-3861 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
ONE BLUE STREET ROMNEY, WV 26757 US
Tel: 304-822-3861 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | WV | WVDHHR30 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 0003198000 | WV | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
