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Organization
ROANE COUNTY COMMITTEE ON AGING, INC.
Active
Organization
ROANE COUNTY COMMITTEE ON AGING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK RICKS R.N. (DIRECTOR)
(304) 927-1997
Entity
Organization
Contact information
Practice address
811 MADISON AVE, SPENCER, WV 25276-1900
(304) 927-1997
(304) 927-2273
Mailing address
811 MADISON AVE, SPENCER, WV 25276-1900
(304) 927-1997
(304) 927-2273
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
001
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030758003
—
WV
Enumeration date
05/11/2007
Last updated
07/21/2022
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