Organization
CORTLAND ACRES ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD C BLACK (ADMINISTRATOR)
(304) 463-4181
Entity
Organization
Contact information
Practice address
HC 60 BOX 98, THOMAS, WV 26292-9704
(304) 463-4181
(304) 463-4190
Mailing address
HC 60 BOX 98, THOMAS, WV 26292-9704
(304) 463-4181
(304) 463-4190
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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