Provider Demographics
NPI:1528503109
Name:WHEELING AREA PRIVATE DUTY
Entity type:Organization
Organization Name:WHEELING AREA PRIVATE DUTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:LOVE
Authorized Official - Last Name:WINTERMOYER
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:304-277-3236
Mailing Address - Street 1:1145 NATIONAL RD
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-5744
Mailing Address - Country:US
Mailing Address - Phone:304-277-3236
Mailing Address - Fax:
Practice Address - Street 1:1296 SUNCREST TOWN CENTRE DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-1828
Practice Address - Country:US
Practice Address - Phone:304-296-6600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-05
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health