Organization
SENIOR LIFE SERVICES OF MORGAN COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL TUTTLE (EXECUTIVE DIRECTOR)
(304) 258-3096
Entity
Organization
Contact information
Practice address
187 S GREEN ST, SUITE 5, BERKELEY SPRINGS, WV 25411-1745
(304) 258-3096
(304) 258-3190
Mailing address
187 S GREEN ST, SUITE 5, BERKELEY SPRINGS, WV 25411-1745
(304) 258-3096
(304) 258-3190
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030693000
—
WV
05
—
0030693002
—
WV
Enumeration date
08/22/2007
Last updated
05/06/2008
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