Organization
SENECA HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARCIE L VAUGHAN LP (PRESIDENT CEO)
(304) 872-6503
Entity
Organization
Contact information
Practice address
804 INDUSTRIAL PARK RD, MAXWELTON, WV 24957-8066
(304) 497-0500
(304) 497-0516
Mailing address
131 WELLNESS DR, SUMMERSVILLE, WV 26651-5402
(304) 872-6503
(304) 872-5415
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
371
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005478000
—
WV
Enumeration date
09/23/2005
Last updated
04/18/2022
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