Organization
MASON COUNTY ACTION GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE NIBERT (FISCAL OFFICER)
(304) 675-2369
Entity
Organization
Contact information
Practice address
101 2ND ST, POINT PLEASANT, WV 25550-1012
(304) 675-2369
(304) 675-2069
Mailing address
101 2ND ST, POINT PLEASANT, WV 25550-1012
(304) 675-2369
(304) 675-2069
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143100005
—
WV
05
—
143100006
—
WV
05
—
1902932197
—
WV
Enumeration date
05/25/2016
Last updated
05/25/2016
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