Organization
NUSKOOL SCHOLARS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERICK J PUGH MA; EDS (OWNER)
(706) 573-7725
Entity
Organization
Contact information
Practice address
109 E MAIN ST, BECKLEY, WV 25801-4627
(304) 250-4210
Mailing address
4234 GRANDVIEW RD, BEAVER, WV 25813-9105
(706) 573-7725
(681) 207-1037
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417468745
—
WV
Enumeration date
06/19/2020
Last updated
06/19/2020
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