# BRAXTON COUNTY SENIOR CITIZENS CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265799183
- **Authorized official:** GARY ALLEN REXROAD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (304) 765-4090

## Contact information

- **Practice address:** 23 SENIOR CENTER DR, SUTTON, WV 26601-9581
- **Practice address phone:** (304) 765-4090
- **Practice address fax:** (307) 765-4095
- **Mailing address:** 23 SENIOR CENTER DR, SUTTON, WV 26601-9581
- **Mailing address phone:** (304) 765-4090
- **Mailing address fax:** (307) 765-4095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/17/2012
- **Last updated:** 08/03/2023