# MONROE COUNTY COUNCIL ON AGING INC

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

## Provider details

- **NPI number:** 1891901690
- **Authorized official:** MR. OTIS RICHARD PENCE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (304) 753-4384

## Contact information

- **Practice address:** RT 219 OLD SCHOOL HOUSE, LINDSIDE, WV 24951
- **Practice address phone:** (304) 753-4384
- **Practice address fax:** (304) 753-9886
- **Mailing address:** PO BOX 149, OLD SCHOOL HOUSE RT 219, LINDSIDE, WV 24951
- **Mailing address phone:** (304) 753-4384
- **Mailing address fax:** (304) 753-9886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 18730 | WV | Yes |

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 08/22/2020