Organization
JACKSON COUNTY DEVELOPMENTAL CENTER, INC
Active
Organization
JACKSON COUNTY DEVELOPMENTAL CENTER, INC
Active
Other names
JCDC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG ALAN GREENING (EXECUTIVE DIRECTOR)
(304) 273-9311
Entity
Organization
Contact information
Practice address
270 JACK BURLINGAME DR, MILLWOOD, WV 25262-8576
(304) 273-9311
(304) 273-5131
Mailing address
270 JACK BURLINGAME DR, MILLWOOD, WV 25262-8576
(304) 273-9311
(304) 273-5131
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
406
WV
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
406
WV
253Z00000X
In Home Supportive Care Agency
406
WV
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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