Organization
BRAXTON COUNTY SENIOR CITIZENS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY ALLEN REXROAD (EXECUTIVE DIRECTOR)
(304) 765-4090
Entity
Organization
Contact information
Practice address
23 SENIOR CENTER DR, SUTTON, WV 26601-9581
(304) 765-4090
(307) 765-4095
Mailing address
23 SENIOR CENTER DR, SUTTON, WV 26601-9581
(304) 765-4090
(307) 765-4095
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030549000
—
WV
Enumeration date
04/17/2012
Last updated
08/03/2023
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