MOUNTAIN CAP OF W

SUTTON, WV
NPI1639292873
Other NameMEDICAID WAIVER
Entity TypeOrganization
Authorized ContactLORI A WALKER
Director
304-765-7738
Organization Subpart ?No
Primary Taxonomy251E00000X Home Health
Enumeration Date2007-04-10
Last Update Date2020-08-22
Business Address
MOUNTAIN CAP OF W
105 JERRY BURTON DR
SUTTON, WV 26601-9767
Phone number: 304-765-7738
Mailing Address
MOUNTAIN CAP OF W
105 JERRY BURTON DR
SUTTON, WV 26601-9767
Phone number: 304-765-7738
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