Organization
UPSHUR COUNTY SENIOR CITIZENS OPPORTUNITY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE RAY THOMPSON (EXECUTIVE DIRECTOR)
(304) 472-0528
Entity
Organization
Contact information
Practice address
28 N KANAWHA ST, BUCKHANNON, WV 26201-2714
(304) 472-0528
(304) 472-6424
Mailing address
28 N KANAWHA ST, BUCKHANNON, WV 26201-2714
(304) 472-0528
(304) 472-6424
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030789000
—
WV
05
—
0030789001
—
WV
Enumeration date
04/13/2007
Last updated
12/05/2022
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