Organization
BOONE COUNTY COMMUNITY ORGANIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BELINDA A HILL III (ACCOUNTING MANAGER)
(304) 369-0451
Entity
Organization
Contact information
Practice address
347 KENMORE DRIVE, DANVILLE, WV 25053
(304) 369-0451
(304) 949-3673
Mailing address
PO BOX 247, MADISON, WV 25130-0247
(304) 369-0451
(304) 949-3673
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
50851
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030547000
—
WV
05
—
0030547002
—
WV
Enumeration date
05/09/2007
Last updated
08/22/2020
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