OrganizationActive
Rescare West Virginia, Incorporated
NPI 1124182092 · Intellectual Disabilities Intermediate Care Facility · Clarksburg, WV
Provider details
- NPI number
- 1124182092
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jackie Canfield, Executive Director(304) 326-0140
- License
- 318 (WV)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
408 Fowler Ave
Clarksburg, WV 26301-3314
Phone: (304) 622-0844
Fax: (304) 622-0844
Approximate (ZIP-level) locationGet directions
Mailing address
1618 Buckhannon Pike
Nutter Fort, WV 26301-4465
Registry dates
- Enumerated
- 2006-12-21
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.