Organization
MULBERRY STREET MANAGEMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS PARRUCCI (CEO)
(304) 291-9066
Entity
Organization
Contact information
Practice address
1097 GREENBAG RD, MORGANTOWN, WV 26508-1532
(304) 291-9066
(304) 291-5698
Mailing address
1097 GREENBAG RD, MORGANTOWN, WV 26508-1532
(304) 291-9066
(304) 291-5698
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
10056362
WV
Other
Enumeration date
04/04/2012
Last updated
02/28/2023
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