- Enrollment id
- O20030715000036
- Enrollment state
- WV
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1801870811
- Multiple npi flag
- Y
- Ccn
- 517060
- Associate id
- 8628989530
- Organization name
- NURSING CARE - HOME HEALTH AGENCY INC
- Doing business as name
- CENTERWELL HOME HEALTH
- Incorporation date
- 1982-10-20
- Incorporation state
- WV
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 46 FRIENDLY NEIGHBOR DRIVE
- City
- CHAPMANVILLE
- State
- WV
- Zip code
- 255082550