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Organization
COALFIELD COMMUNITY ACTION PARTNERS
Active
Organization
COALFIELD COMMUNITY ACTION PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID JEWELL (DIRECTOR OF FINANCE)
(304) 235-1701
Entity
Organization
Contact information
Practice address
815 ALDERSON STREET, WILLIAMSON, WV 25661-3215
(304) 235-1701
(304) 235-1706
Mailing address
P.O. BOX 1406, 815 ALDERSON STREET, WILLIAMSON, WV 25661-3215
(304) 235-1701
(304) 235-1706
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3747P1801X
Personal Care Attendant
Primary
10350857
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030685000
—
WV
Enumeration date
07/23/2007
Last updated
08/03/2012
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