Organization
TUCKER COUNTY SENIOR CITIZENS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY A. SMITH (FISCAL OFFICER)
(304) 478-2423
Entity
Organization
Contact information
Practice address
206 3RD ST, PARSONS, WV 26287-1041
(304) 478-2423
(304) 478-4828
Mailing address
206 3RD ST, PARSONS, WV 26287-1041
(304) 478-2423
(304) 478-4828
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
001
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030787000
—
WV
05
—
0030787002
—
WV
Enumeration date
04/04/2007
Last updated
07/21/2022
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