# RALEIGH COUNTY COMMISSION ON AGING, INC.

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

## Provider details

- **NPI number:** 1619185147
- **Authorized official:** MR. JACK TANNER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (304) 255-1397

## Contact information

- **Practice address:** 1614 S KANAWHA ST, BECKLEY, WV 25801-6239
- **Practice address phone:** (304) 255-1397
- **Practice address fax:** (304) 252-9360
- **Mailing address:** 1614 S KANAWHA ST, BECKLEY, WV 25801-6239
- **Mailing address phone:** (304) 255-1397
- **Mailing address fax:** (304) 252-9360

## Taxonomy

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

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 08/22/2020