OrganizationActive
Rem West Virginia, LLC
NPI 1053289694 · Intellectual Disabilities Intermediate Care Facility · Petersburg, WV
Provider details
- NPI number
- 1053289694
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Rodenberg-Roberts, Vp & Sr Asst General Counsel(952) 836-2234
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
26 Davis St
Petersburg, WV 26847-1535
Phone: (304) 257-4474
Approximate (ZIP-level) locationGet directions
Mailing address
6600 France Ave S Ste 350
Edina, MN 55435-1810
Registry dates
- Enumerated
- 2025-10-27
- Last updated
- 2025-10-27
- Certified
- 2025-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.