Potomac Center Inc Birch Lane Group Home

LBN: Potomac Comprehensive Diagnostic And Guidance Center Inc
Potomac Center Inc Birch Lane Group Home is an health care organization with primary practice located at One Blue Street , Romney WV 26757. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Potomac Comprehensive Diagnostic And Guidance Center Inc can be contacted via phone (304) 822-3861, or through Plowright, David via phone (304) 822-3861.

Contact Information

Primary practice address
One Blue Street Romney WV 26757
Phone: (304) 822-3861
Fax: (304) 822-4297
Website:
Map and Directions
Authorized official contact:
Name: Plowright, David
Phone: (304) 822-3861

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X WVDHHR213 West Virginia

Profile Details

NPI number 1700961844
LBN Legal business name Potomac Comprehensive Diagnostic And Guidance Center Inc
DBA Doing business as Potomac Center Inc Birch Lane Group Home
Authorized official Plowright, David
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700961844 NPPES
West Virginia MEDICAID 0003198001

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