Organization
BROOKE CO. COMMITTEE ON AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOY CRAWFORD (EXECUTIVE DIRECTOR)
(304) 527-3410
Entity
Organization
Contact information
Practice address
948 MAIN ST, FOLLANSBEE, WV 26037-1450
(304) 527-3410
(304) 527-4278
Mailing address
948 MAIN ST, FOLLANSBEE, WV 26037-1450
(304) 527-3410
(304) 527-4278
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275539520
WAIVER PROGRAM
WV
05
—
1326266735
—
WV
01
—
1336367747
CASE MANAGEMENT AGENCY
WV
Enumeration date
04/15/2014
Last updated
07/21/2022
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