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Organization

JEFFERSON COUNTY COUNCIL ON AGING - JC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SARAH PIERSON (FINANCE OFFICER)
(304) 724-7109
Entity
Organization

Contact information

Practice address
103 W 5TH AVE, RANSON, WV 25438-1405
(304) 725-4044
(304) 725-9500
Mailing address
103 W 5TH AVE, RANSON, WV 25438-1405
(304) 725-4044
(304) 725-9500

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
N/A
WV
Enumeration date
03/26/2014
Last updated
03/26/2014
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