Organization
MONROE COUNTY COUNCIL ON AGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OTIS RICHARD PENCE (EXECUTIVE DIRECTOR)
(304) 753-4384
Entity
Organization
Contact information
Practice address
RT 219 OLD SCHOOL HOUSE, LINDSIDE, WV 24951
(304) 753-4384
(304) 753-9886
Mailing address
PO BOX 149, OLD SCHOOL HOUSE RT 219, LINDSIDE, WV 24951
(304) 753-4384
(304) 753-9886
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
18730
WV
Other
Enumeration date
05/16/2007
Last updated
08/22/2020
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