# SUMMERS COUNTY COUNCIL ON AGING, INC

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

## Provider details

- **NPI number:** 1790193977
- **Authorized official:** LINVILLE F GOINS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (304) 466-4019

## Contact information

- **Practice address:** 120 2ND AVE, HINTON, WV 25951-2402
- **Practice address phone:** (304) 466-4019
- **Practice address fax:** (304) 466-1890
- **Mailing address:** 120 2ND AVE, HINTON, WV 25951-2402
- **Mailing address phone:** (304) 466-4019
- **Mailing address fax:** (304) 466-1890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | UD000121045001 | WV | Yes |

## Other

- **Enumeration date:** 07/31/2014
- **Last updated:** 07/31/2014
