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Organization
SOUTHWESTERN COMMUNITY ACTION COUNCIL
Active
Organization
SOUTHWESTERN COMMUNITY ACTION COUNCIL
Active
Parent organization
SOUTHWESTERN COMMUNITY ACTION
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWESTERN COMMUNITY ACTION
Authorized official
MR. DWIGHT COBURN (CEO)
(304) 525-5151
Entity
Organization
Contact information
Practice address
540 FIFTH AVE., HUNTINGTON, WV 25701-1908
(304) 525-5151
(304) 697-8556
Mailing address
540 FIFTH AVE., HUNTINGTON, WV 25701-1908
(304) 525-5151
(304) 697-8556
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
251B0000X
WV
251E00000X
Home Health Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
251X00000X
Supports Brokerage Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023584001
—
WV
05
—
0023584004
—
WV
05
—
3810018524
—
WV
Enumeration date
03/19/2007
Last updated
05/30/2023
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