Organization
COMMUNITY BREAD BASKET, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK MILANESE (PRESIDENT)
(304) 797-9884
Entity
Organization
Contact information
Practice address
3501 WEST ST, WEIRTON, WV 26062-4524
(304) 748-7595
(304) 748-7530
Mailing address
PO BOX 154, 3501 WEST STREET, WEIRTON, WV 26062-0154
(304) 748-7595
(304) 748-7530
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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