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Organization
MONROE COUNTY COUNCIL ON AGING INC
Active
Organization
MONROE COUNTY COUNCIL ON AGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OTIS RICHARD PENCE (EXECUTIVE DIRECTOR)
(304) 753-4384
Entity
Organization
Contact information
Practice address
RT 219 OLD SCHOOL HOUSE, LINDSIDE, WV 24951
(304) 753-4384
(304) 753-9886
Mailing address
PO BOX 149, OLD SCHOOL HOUSE RT 219, LINDSIDE, WV 24951
(304) 753-4384
(304) 753-9886
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
18730
WV
Other
Enumeration date
05/16/2007
Last updated
08/22/2020
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