Organization
NICHOLAS COMMUNITY ACTION PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A JARROLL (PRESIDENT)
(304) 872-1162
Entity
Organization
Contact information
Practice address
1205 BROAD ST, SUMMERSVILLE, WV 26651-1805
(304) 872-1162
(304) 872-5796
Mailing address
1205 BROAD ST, SUMMERSVILLE, WV 26651-1805
(304) 872-1162
(304) 872-5796
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1035-2100
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659370856
—
WV
Enumeration date
11/29/2010
Last updated
11/29/2010
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