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Certified Provider Details:
| PROVIDER NUMBER: | 490055 |
| AGENCY NAME: | Health South Mtn View Regional Rehab. |
| CONTACT NAME: | Sheri Wolfe |
| ADDRESS: | 1160 VanVoorhis Road |
| CITY: | Morgantown |
| STATE: | WV |
| ZIP: | 26505 |
| PHONE: | |
| WEB SITE: | |
| EMAIL ADDRESS: | sheri.wolfe@healthsouth.com |
| BSW/MSW NAME: | Mary McIntosh |
| DUE TO RECERTIFY DATE: | 7/1/2010 |
| COMMENTS: |