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Organization

COMMITTEE ON AGING RANDOLPH CO.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARON ROCKWELL (FISCAL OPERATIONS MANAGER)
(304) 636-4747
Entity
Organization

Contact information

Practice address
5TH STREET & RAILROAD AVE, ELKINS, WV 26241-0727
(304) 636-4747
(304) 637-4991
Mailing address
PO BOX 727, ELKINS, WV 26241-0727
(304) 636-4747
(304) 637-4991

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0030580000
WV
Enumeration date
03/30/2007
Last updated
08/22/2020
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