Organization
BRAXTON COUNTY SENIOR CITIZENS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH CHAPMAN (ASSISTANT DIRECTOR)
(304) 765-4090
Entity
Organization
Contact information
Practice address
23 SENIOR CENTER DR, SUTTON, WV 26601-9581
(304) 765-4090
(307) 765-4095
Mailing address
23 SENIOR CENTER DR, SUTTON, WV 26601-9581
(304) 765-4090
(307) 765-4095
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
WV
343900000X
Non-emergency Medical Transport (VAN)
75474
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030549000
—
WV
05
—
0030549001
—
WV
05
—
0030549002
—
WV
Enumeration date
02/20/2007
Last updated
09/21/2020
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