MOUNTAINEER HOME HEALTH, LLC
Agencies at 4 Ave, Charleston, WV

License number
West Virginia 90364
Category
Agencies
Type
Home Health
License number
West Virginia 2007-011,481
Category
Agencies
Type
Home Health
Owner
Name: DR. LAWRENCE B KELLY M.D.
Title: CEO
Phone: (304) 720-0205
Address
Address
325 4Th Ave SUITE 5, Charleston, WV 25303
National Provider ID: 1629101910
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MOUNTAINEER HOME HEALTH, LLC at bizstanding.com

MOUNTAINEER HOME HEALTH LLC

Charleston, WV

Status:
Inactive
Inactive reason:
Revoked (Failure to File Annual Report)
Registration:
Dec 27, 2006
Inactive since:
Nov 1, 2010
Addresses:
209 Southern Pne Trl, Charleston, WV 25309 (Mailing)
Jarena Kelly, Charleston, WV 25309 (Physical)
Business type:
Limited Liability Company
Organizers:
Md Lawrence B Kelly (Member), 209 Southern Pne Trl, Charleston, WV 25309,Jarena Kelly (Member), 209 Southern Pne Trl, Charleston, WV 25309,Jarena Kelly + One Other (Organizer), 209 Southern Pne Trl, Charleston, WV 25309

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