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Organization
GRANT COUNTY BOARD OF EDUCATION
Active
Organization
GRANT COUNTY BOARD OF EDUCATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA A STEWART (MEDICAID COORDINATOR)
(304) 267-3595
Entity
Organization
Contact information
Practice address
204 JEFFERSON AVENUE, GRANT COUNTY BOARD OF EDUCATION, PETERSBURG, WV 26847
(304) 267-3595
(304) 267-3595
Mailing address
109 SOUTH COLLEGE STREET, RESA VIII, MARTINSBURG, WV 25401
(304) 267-3595
(304) 267-3599
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4802017000
—
WV
Enumeration date
02/27/2008
Last updated
02/27/2008
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