Provider Demographics
NPI:1033737531
Name:ROSS, JANICE L (DIRECTOR)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:L
Last Name:ROSS
Suffix:
Gender:F
Credentials:DIRECTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2197 NATIONAL RD
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-5202
Mailing Address - Country:US
Mailing Address - Phone:304-233-1414
Mailing Address - Fax:304-230-2492
Practice Address - Street 1:2197 NATIONAL RD
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-5202
Practice Address - Country:US
Practice Address - Phone:304-233-1414
Practice Address - Fax:304-230-2492
Is Sole Proprietor?:No
Enumeration Date:2020-07-10
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator