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Organization
AGE IN PLACE WEST VIRGINIA L.L.C
Active
Organization
AGE IN PLACE WEST VIRGINIA L.L.C
Active
Other names
Age In Place West Virginia
Organization subpart
No
Provider details
NPI number
Authorized official
MINERVA DOUGAN BSN, RN, DNS-CT, (CHIEF CARE-GIVING OFFICER)
(304) 579-5853
Entity
Organization
Contact information
Practice address
101 MEDICAL CT STE 202, MARTINSBURG, WV 25401-3854
(304) 579-5853
Mailing address
101 MEDICAL CT STE 202, MARTINSBURG, WV 25401-3854
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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