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Organization
CLAY COUNTY DEVELOPMENT CORPORATION
Active
Organization
CLAY COUNTY DEVELOPMENT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA J TAYLOR (EXECUTIVE DIRECTOR)
(304) 587-4251
Entity
Organization
Contact information
Practice address
172 MAIN STREET, CLAY, WV 25043
(304) 587-4251
(304) 587-2787
Mailing address
PO BOX 455, CLAY, WV 25043-0455
(304) 587-4251
(304) 587-2787
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1035-0894
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030576001
—
WV
Enumeration date
04/03/2014
Last updated
04/03/2014
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