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Certified Provider Details:
| PROVIDER NUMBER: | 490061 |
| AGENCY NAME: | Westbrook Health Services |
| CONTACT NAME: | David N. Cisler |
| ADDRESS: | 2121 7th Street |
| CITY: | Parkersburg |
| STATE: | WV |
| ZIP: | 26101 |
| PHONE: | (304) 485-1721 |
| WEB SITE: | www.westbrookhealth.com |
| EMAIL ADDRESS: | cislerd@westbrookhealth.com |
| BSW/MSW NAME: | Karen Schimmel |
| DUE TO RECERTIFY DATE: | 7/1/2010 |
| COMMENTS: |