# MOUNTAINEER HOME CARE SERVICES LLC

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

## Provider details

- **NPI number:** 1326345364
- **Authorized official:** MR. ROBERT R ELBON JR. (OWNER PRESIDENT)
- **Authorized official phone:** (304) 704-6475

## Contact information

- **Practice address:** 301 CENTRAL ST APT 3, ELKINS, WV 26241-3199
- **Practice address phone:** (304) 636-5252
- **Practice address fax:** (304) 591-4521
- **Mailing address:** 301 CENTRAL ST APT 3, ELKINS, WV 26241-3199
- **Mailing address phone:** (304) 636-5252
- **Mailing address fax:** (304) 591-4521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 2247-8825 | WV | Yes |

## Other

- **Enumeration date:** 02/25/2011
- **Last updated:** 02/25/2011