Organization
ROANE COUNTY COMMITTEE ON AGING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK RICKS R.N. (DIRECTOR)
(304) 927-1997
Entity
Organization
Contact information
Practice address
811 MADISON AVE, SPENCER, WV 25276-1900
(304) 927-1997
(304) 927-2273
Mailing address
811 MADISON AVE, SPENCER, WV 25276-1900
(304) 927-1997
(304) 927-2273
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
001
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030758002
—
WV
Enumeration date
05/10/2007
Last updated
07/21/2022
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