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Organization

SENIOR LIFE SERVICES OF MORGAN COUNTY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOEL R TUTTLE (EXECUTIVE DIRECTOR)
(304) 258-3096
Entity
Organization

Contact information

Practice address
106 SAND MINE RD, SUITE #1, BERKELEY SPRINGS, WV 25411-7457
(304) 258-3096
(304) 258-3190
Mailing address
106 SAND MINE RD, SUITE #1, BERKELEY SPRINGS, WV 25411-7457
(304) 258-3096
(304) 258-3190

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0030693002
WV
Enumeration date
09/28/2015
Last updated
09/28/2015
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