Organization
WAYNE COUNTY COMMUNITY SERVICE ORG., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSE MARIE MEREDITH LSW (EXECUTIVE DIRECTOR)
(304) 429-0070
Entity
Organization
Contact information
Practice address
3609 HUGHES ST, HUNTINGTON, WV 25704-1915
(304) 429-0070
(304) 429-0026
Mailing address
3609 HUGHES ST, HUNTINGTON, WV 25704-1915
(304) 429-0070
(304) 429-0026
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030797000
—
WV
05
—
0030797001
—
WV
05
—
0030797002
—
WV
05
—
0030797003
—
WV
Enumeration date
03/13/2007
Last updated
08/22/2020
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