Organization
BOONE COUNTY COMMUNITY ORGANIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BELINDA A HILL (OFFICE MANAGER)
(304) 369-0451
Entity
Organization
Contact information
Practice address
347 KENMORE DR, DANVILLE, WV 25053-7083
(304) 369-0451
Mailing address
PO BOX 247, MADISON, WV 25130-0247
(304) 369-0451
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030547002
—
WV
Enumeration date
04/15/2014
Last updated
04/15/2014
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