| NPI | 1700068988 |
|---|---|
| Other Name | CCCSO |
| Entity Type | Organization |
| Authorized Contact | ROBERT EDWIN ROSWALL Executive Director 304-529-4952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: WV 0030563002) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |