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Organization

ALL CARE HOME AND COMMUNITY SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER GIBSON (EXECUTIVE DIRECTOR)
(304) 294-8800
Entity
Organization

Contact information

Practice address
RT 10 OLD ITMANN GRADESCHOOL, ITMANN, WV 24847
(304) 294-8800
(304) 294-8803
Mailing address
PO BOX 130, ITMANN, WV 24847-0130
(304) 294-8800
(304) 294-8803

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
WVM0004468377
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0030823001
WV
Enumeration date
03/26/2014
Last updated
03/26/2014
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