# DODDRIDGE CO. SENIOR CITIZENS, INC.

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

## Provider details

- **NPI number:** 1326264722
- **Authorized official:** MR. MARVIN TRAVIS (DIRECTOR)
- **Authorized official phone:** (304) 873-2061

## Contact information

- **Practice address:** 403 W MAIN ST, WEST UNION, WV 26456-1127
- **Practice address phone:** (304) 873-2061
- **Mailing address:** 403 W MAIN ST, WEST UNION, WV 26456-1127
- **Mailing address phone:** (304) 873-2061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 376J00000X | Homemaker | — | NULL | — |
| 376J00000X | Homemaker | — | — | — |

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 11/14/2022