Organization
PUTNAM COUNTY AGING PROGRAM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA DOSS (FISCAL OFFICER)
(304) 755-2385
Entity
Organization
Contact information
Practice address
2558 WINFIELD RD, SAINT ALBANS, WV 25177-7804
(304) 755-2385
Mailing address
2558 WINFIELD RD, SAINT ALBANS, WV 25177-7804
(304) 755-2385
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030736001
—
WV
Enumeration date
08/15/2014
Last updated
08/15/2014
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