Organization
AGING AND FAMILY SERVICES OF MINERAL COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT SCOTT MALLERY (EXECUTIVE DIRECTOR)
(304) 788-5467
Entity
Organization
Contact information
Practice address
1 S MAIN ST, KEYSER, WV 26726-3127
(304) 788-5467
(304) 788-6363
Mailing address
1 S MAIN ST, KEYSER, WV 26726-3127
(304) 788-5467
(304) 788-6363
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030679000
—
WV
05
—
0030679001
—
WV
05
—
0030679002
—
WV
05
—
9030021000
—
WV
Enumeration date
02/22/2007
Last updated
08/22/2020
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