Organization
BRAXTON COUNTY SENIOR CITIZENS CENTER, INC.
Active
Organization
BRAXTON COUNTY SENIOR CITIZENS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH CHAPMAN (EXECUTIVE DIRECTOR)
(304) 765-4090
Entity
Organization
Contact information
Practice address
23 SENIOR CENTER DR, SUTTON, WV 26601-9581
(304) 765-4090
(304) 765-4095
Mailing address
23 SENIOR CENTER DR, SUTTON, WV 26601-9581
(304) 765-4090
(304) 765-4095
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
10361281
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030549002
—
WV
Enumeration date
04/15/2014
Last updated
09/21/2020
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