Organization
PUTNAM COUNTY AGING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA DOSS (FISCAL OFFICER)
(304) 755-2385
Entity
Organization
Contact information
Practice address
694 WINFIELD RD, SAINT ALBANS, WV 25177-1554
(304) 755-2385
(304) 755-8247
Mailing address
694 WINFIELD RD, SAINT ALBANS, WV 25177-1554
(304) 755-2385
(304) 755-8247
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030736000
—
WV
05
—
0030736001
—
WV
05
—
0030736002
—
WV
05
—
3810001928
—
WV
Enumeration date
05/23/2007
Last updated
08/05/2008
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