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Organization

MARION COUNTY SENIOR CITIZENS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JONE WEBB (EXECUTIVE DIRECTOR)
(304) 366-8779
Entity
Organization

Contact information

Practice address
105 MAPLEWOOD DR, FAIRMONT, WV 26554-2147
(304) 366-8779
(304) 366-3186
Mailing address
105 MAPLEWOOD DR, FAIRMONT, WV 26554-2147
(304) 366-8779
(304) 366-3186

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0031161000
WV
05
2803011000
WV
05
8003021000
WV
Enumeration date
05/21/2007
Last updated
08/22/2020
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