Organization
WIRT COUNTY COMMITTEE ON AGING AND FAMILY SERVICES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE ROBERTS (EXECUTIVE DIRECTOR)
(304) 275-3158
Entity
Organization
Contact information
Practice address
WASHINGTON STREET, ELIZABETH, WV 26143
(304) 275-3158
Mailing address
PO BOX 370, ELIZABETH, WV 26143-0370
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030810000
—
WV
05
—
0030810001
—
WV
05
—
0030810003
—
WV
Enumeration date
02/22/2007
Last updated
01/13/2012
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