Organization
NICHOLAS COMMUNITY ACTION PARTNERSHIP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID JARROLL (PRESIDENT)
(304) 872-1162
Entity
Organization
Contact information
Practice address
1205 BROAD ST, SUMMERSVILLE, WV 26651-1805
(304) 872-1162
(304) 883-2033
Mailing address
1205 BROAD ST, SUMMERSVILLE, WV 26651-1805
(304) 872-1162
(304) 883-2033
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0030701001
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030701001
HOMEMAKER AGENCY
WV
Enumeration date
08/23/2007
Last updated
08/23/2007
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