OrganizationActive
Rescare
NPI 1457415341 · Intellectual Disabilities Intermediate Care Facility · Madison, WV
Provider details
- NPI number
- 1457415341
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Lena Street, Executive Director
- License
- 346 (WV)
Practice location
330 Jackson Ave
Madison, WV 25130-1318
Phone: (304) 369-1779
Fax: (304) 369-1853
Mailing address
Po Box 1560
Princeton, WV 24740-1560
Registry dates
- Enumerated
- 2006-12-22
- 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.