| NPI | 1689091647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN D WELLS Executive Director 304-358-2421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: WV 10360224) |
| Additional Taxonomies | 251B00000X Case Management (Licence: WV 10360224) |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: WV 10360224) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-03-27 |