Organization
HAMPSHIRE CO. SPECIAL SERVICES CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN SANDERS (EXECUTIVE DIRECTOR)
(304) 822-7062
Entity
Organization
Contact information
Practice address
9 INDUSTRIAL PARK, ROMNEY, WV 26757-1101
(304) 822-7062
(304) 822-7007
Mailing address
9 INDUSTRIAL PARK, ROMNEY, WV 26757-1101
(304) 822-7062
(304) 822-7007
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
105
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005335000
—
WV
05
—
0005335001
—
WV
Enumeration date
09/20/2006
Last updated
08/22/2020
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