Organization
SENIOR MONONGALIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARTIN (EXECUTIVE DIRECTOR)
(304) 296-9812
Entity
Organization
Contact information
Practice address
5000 GREENBAG ROAD, SUITE A5, MORGANTOWN, WV 26501
(304) 296-9812
(304) 719-4780
Mailing address
PO BOX 653, MORGANTOWN, WV 26507
(304) 296-9812
(304) 719-4780
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030770000
—
WV
Enumeration date
02/22/2007
Last updated
05/07/2025
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