# COUNCIL OF SENIOR TYLER COUNTIANS, INC.

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

## Provider details

- **NPI number:** 1295151207
- **Authorized official:** MRS. AMY HAUGHT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (304) 758-4919

## Contact information

- **Practice address:** 504 CHERRY STREET, MIDDLEBOURNE, WV 26149
- **Practice address phone:** (304) 758-4919
- **Practice address fax:** (304) 758-4680
- **Mailing address:** PO BOX 68, MIDDLEBOURNE, WV 26149-0068
- **Mailing address phone:** (304) 758-4919
- **Mailing address fax:** (304) 758-4680

## Taxonomy

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

## Other

- **Enumeration date:** 03/14/2014
- **Last updated:** 03/14/2014