Organization
AGING & FAMILY SERVICES OF MINERAL COUNTY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEWIS KITZMILLER II (DIRECTOR OF FINANCE & HR)
(304) 788-5467
Entity
Organization
Contact information
Practice address
1 S MAIN ST, KEYSER, WV 26726-3127
(304) 788-5467
(304) 788-6363
Mailing address
1 S MAIN ST, KEYSER, WV 26726-3127
(304) 788-5467
(304) 788-6363
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1022-6828
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9030021000
—
WV
Enumeration date
04/02/2014
Last updated
04/02/2014
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