Organization
SUMMERS COUNTY COUNCIL ON AGING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINVILLE F GOINS (EXECUTIVE DIRECTOR)
(304) 466-4019
Entity
Organization
Contact information
Practice address
120 2ND AVE, HINTON, WV 25951-2402
(304) 466-4019
(304) 466-1890
Mailing address
120 2ND AVE, HINTON, WV 25951-2402
(304) 466-4019
(304) 466-1890
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
UD000121045001
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030778001
—
WV
Enumeration date
07/31/2014
Last updated
07/31/2014
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