Organization
MULBERRY STREET MANAGEMENT
Active
Organization
MULBERRY STREET MANAGEMENT
Active
Other names
COORDINATING COUNCIL FOR INDEPENDENT LIVING
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PLEVICH CPA (CFO)
(304) 291-9066
Entity
Organization
Contact information
Practice address
1097 GREENBAG RD, MORGANTOWN, WV 26508-1532
(304) 291-9066
(304) 291-2119
Mailing address
1097 GREENBAG RD, MORGANTOWN, WV 26508-1532
(304) 291-9066
(304) 291-2119
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/05/2014
Last updated
02/28/2023
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