Organization
RALEIGH COUNTY COMMISSION ON AGING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK TANNER (EXECUTIVE DIRECTOR)
(304) 255-1397
Entity
Organization
Contact information
Practice address
1614 S KANAWHA ST, BECKLEY, WV 25801-6239
(304) 255-1397
(304) 252-9360
Mailing address
1614 S KANAWHA ST, BECKLEY, WV 25801-6239
(304) 255-1397
(304) 252-9360
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030745003
—
WV
Enumeration date
05/24/2007
Last updated
08/22/2020
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