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Organization

MARTINSBURG WORK CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BRENDA LEE KOONTZ (OFFICE ASSISTANT)
(304) 262-9600
Entity
Organization

Contact information

Practice address
24 INTEGRITY TER, MARTINSBURG, WV 25401-3524
(304) 262-9600
(304) 262-6900
Mailing address
PO BOX 1265, MARTINSBURG, WV 25402-1265
(304) 262-9600
(304) 262-6900

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
WV

Other

Enumeration date
07/03/2007
Last updated
08/21/2007
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