Organization
BRAXTON COUNTY SENIOR CITIZENS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH CHAPMAN (EXECUTIVE DIRECTOR)
(304) 765-4090
Entity
Organization
Contact information
Practice address
23 SENIOR CENTER DR, SUTTON, WV 26601-9581
(304) 765-4090
(304) 765-4095
Mailing address
23 SENIOR CENTER DR, SUTTON, WV 26601-9581
(304) 765-4090
(304) 765-4095
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
10369581
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030549001
—
WV
Enumeration date
04/15/2014
Last updated
09/21/2020
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