# APPALACHIAN CENTER FOR INDEPENDENT LIVING, INC.

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

## Provider details

- **NPI number:** 1780552026
- **Authorized official:** LISA CREEL (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (304) 965-0376

## Contact information

- **Practice address:** 4710 CHIMNEY DR STE C, CHARLESTON, WV 25302-4841
- **Practice address phone:** (304) 965-0376
- **Practice address fax:** (304) 965-0377
- **Mailing address:** 4710 CHIMNEY DR STE C, CHARLESTON, WV 25302-4841
- **Mailing address phone:** (304) 965-0376
- **Mailing address fax:** (304) 965-0377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/28/2025
- **Last updated:** 11/03/2025