Organization
AGE IN PLACE WEST VIRGINIA L.L.C
Active
Other names
Age In Place West Virginia
Organization subpart
No
Provider details
NPI number
Authorized official
MINERVA DOUGAN BSN, RN, DNS-CT, (CHIEF CARE-GIVING OFFICER)
(304) 579-5853
Entity
Organization
Contact information
Practice address
101 MEDICAL CT STE 202, MARTINSBURG, WV 25401-3854
(304) 579-5853
Mailing address
101 MEDICAL CT STE 202, MARTINSBURG, WV 25401-3854
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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