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Organization
DODDRIDGE CO SENIOR CITIZEN
Active
Organization
DODDRIDGE CO SENIOR CITIZEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN E TRAVIS (DIRECTOR)
(304) 873-2061
Entity
Organization
Contact information
Practice address
403 W MAIN ST, P.O. 432, WEST UNION, WV 26456-1127
(304) 873-2061
(304) 873-1769
Mailing address
403 W MAIN ST, P.O. 432, WEST UNION, WV 26456-1127
(304) 873-2061
(304) 873-1769
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
Other
Enumeration date
05/12/2008
Last updated
11/14/2022
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