Organization
PENDLETON SENIOR & FAMILY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN D WELLS (EXECUTIVE DIRECTOR)
(304) 358-2421
Entity
Organization
Contact information
Practice address
231 MILL RD., FRANKLIN, WV 26807
(304) 358-2421
(304) 358-2422
Mailing address
PO BOX 9, 231 MILL ROAD, FRANKLIN, WV 26807-0009
(304) 358-2421
(304) 358-2422
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
10360224
WV
253Z00000X
In Home Supportive Care Agency
Primary
10360224
WV
343900000X
Non-emergency Medical Transport (VAN)
10360224
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030712001
—
WV
05
—
0030712003
—
WV
05
—
9030120000
—
WV
Enumeration date
03/27/2014
Last updated
03/27/2014
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