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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