Organization
SHELTERED WORKSHOP OF NICHOLAS COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUANE RAY BRAGG (DIRECTOR OF OPPERATIONS)
(304) 742-6202
Entity
Organization
Contact information
Practice address
16810 WEBSTER RD., PO DRAWER 730, CRAIGSVILLE, WV 26205-0730
(304) 742-6202
(304) 742-6280
Mailing address
PO BOX 730, CRAIGSVILLE, WV 26205-0730
(304) 742-6202
(304) 742-6280
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1036-8190
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005379000
—
WV
Enumeration date
06/19/2008
Last updated
06/19/2008
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