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Organization

COMMISSION ON AGING FAMILY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DARLENE E EVANS (EXECUTIVE DIRECTOR)
(304) 257-1666
Entity
Organization

Contact information

Practice address
111 VIRGINIA AVE, PETERSBURG, WV 26847-1713
(304) 257-1666
(304) 257-9145
Mailing address
111 VIRGINIA AVE, PETERSBURG, WV 26847-1713
(304) 257-1666
(304) 257-9145

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
253Z00000X
In Home Supportive Care Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0030591000
WV
05
0030591001
WV
Enumeration date
07/03/2007
Last updated
08/31/2023
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