Provider Demographics
NPI:1669699328
Name:RITCHIE CO. INTEGRATED FAMILY SERVICES
Entity type:Organization
Organization Name:RITCHIE CO. INTEGRATED FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXEC. DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:IVA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-643-4941
Mailing Address - Street 1:P.O. BOX 195
Mailing Address - Street 2:CORNER OF SOUTH COURT AND EDGEVIEW LAND
Mailing Address - City:HARRISVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26362
Mailing Address - Country:US
Mailing Address - Phone:304-643-4941
Mailing Address - Fax:304-643-4936
Practice Address - Street 1:CORNER OF SOUTH COURT AND EDGEVIEW LANE
Practice Address - Street 2:
Practice Address - City:HARRISVILLE
Practice Address - State:WV
Practice Address - Zip Code:26362
Practice Address - Country:US
Practice Address - Phone:304-643-4941
Practice Address - Fax:304-643-4936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV810506251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0030756002Medicaid