# COMMUNITY BREAD BASKET, INC.

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

## Provider details

- **NPI number:** 1811209943
- **Authorized official:** MR. FRANK MILANESE (PRESIDENT)
- **Authorized official phone:** (304) 797-9884

## Contact information

- **Practice address:** 3501 WEST ST, WEIRTON, WV 26062-4524
- **Practice address phone:** (304) 748-7595
- **Practice address fax:** (304) 748-7530
- **Mailing address:** PO BOX 154, 3501 WEST STREET, WEIRTON, WV 26062-0154
- **Mailing address phone:** (304) 748-7595
- **Mailing address fax:** (304) 748-7530

## Taxonomy

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

## Other

- **Enumeration date:** 07/06/2010
- **Last updated:** 07/06/2010