Organization Name: | ST. JOHN'S/ST. VINCENT'S HOME FOR CHILDREN, INC |
NPI Number: | 1003009747 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERENCE A. MCCORMICK (EXECUTIVE DIRECTOR) |
Mailing Address: | 141 Key Ave Wheeling |
State: | WV US |
Postal Code: | 260037410 |
Phone Number: | 3042425633 |
Fax Number: | 3042434911 |
NPI Enumeration Date: | 08/27/2007 |
NPI Last Update Date: | 08/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | 238 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |