Organization
CALHOUN COUNTY COMMITTEE ON AGING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK POLING (EXECUTIVE DIRECTOR)
(304) 354-7017
Entity
Organization
Contact information
Practice address
3 MARKET STREET, GRANTSVILLE, WV 26147
(304) 354-7017
(304) 354-6859
Mailing address
PO BOX 619, GRANTSVILLE, WV 26147-0619
(304) 354-7017
(304) 354-6859
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030566000
—
WV
05
—
0030566001
—
WV
05
—
8001004000
—
WV
Enumeration date
02/17/2007
Last updated
12/29/2020
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