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Organization

LINCOLN COUNTY OPPORTUNITY CO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM F CARPENTER JR. (EXECUTIVE DIRECTOR)
(304) 824-3448
Entity
Organization

Contact information

Practice address
360 MAIN ST, HAMLIN, WV 25523-1412
(304) 824-3448
(304) 824-7662
Mailing address
360 MAIN STREET, HAMLIN, WV 25523
(304) 824-3448
(304) 824-7662

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
WV
253Z00000X
In Home Supportive Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1134347628
WV
05
1285850172
WV
05
1902026057
WV
Enumeration date
05/31/2016
Last updated
08/01/2022
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