Provider Demographics
NPI:1760883730
Name:HUNT COUNTRY HEALTH SERVICES
Entity Type:Organization
Organization Name:HUNT COUNTRY HEALTH SERVICES
Other - Org Name:HUNT COUNTRY HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DORIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TAKWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-754-5135
Mailing Address - Street 1:31 S. BRADDOCK STREET
Mailing Address - Street 2:SUITE 106
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601
Mailing Address - Country:US
Mailing Address - Phone:540-773-4941
Mailing Address - Fax:540-773-3345
Practice Address - Street 1:31 S. BRADDOCK STREET
Practice Address - Street 2:SUITE 106
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601
Practice Address - Country:US
Practice Address - Phone:540-773-4941
Practice Address - Fax:540-773-3345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-10
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health