Organization
COMMISSION ON AGING FAMILY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLENE E EVANS (EXECUTIVE DIRECTOR)
(304) 257-1666
Entity
Organization
Contact information
Practice address
111 VIRGINIA AVE, PETERSBURG, WV 26847-1713
(304) 257-1666
(304) 257-9145
Mailing address
111 VIRGINIA AVE, PETERSBURG, WV 26847-1713
(304) 257-1666
(304) 257-9145
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10359713
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030591000
—
WV
05
—
0030591001
—
WV
05
—
3810009687
—
WV
05
—
3810022661
—
WV
Enumeration date
06/26/2013
Last updated
08/31/2023
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