IndividualActive
Patricia David
NPI 1427878347 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Kenova, WV
Provider details
- NPI number
- 1427878347
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
1401 Chestnut St
Kenova, WV 25530-1235
Phone: (304) 453-2800
Approximate (ZIP-level) locationGet directions
Mailing address
1401 Chestnut St
Kenova, WV 25530-1235
Registry dates
- Enumerated
- 2024-10-15
- Last updated
- 2024-10-15
- Certified
- 2024-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.