Organization
MERCER COUNTY COMMISSION ON AGING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY J. WHITTAKER (ASSISTANT PROGRAM DIRECTOR)
(304) 425-7111
Entity
Organization
Contact information
Practice address
600 TRENT ST., PRINCETON, WV 24740-1507
(304) 425-7111
(304) 487-8801
Mailing address
PO BOX 1507, PRINCETON, WV 24740-1507
(304) 425-7111
(304) 487-8801
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
251E00000X
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030667000
—
WV
05
—
0030667001
—
WV
Enumeration date
04/10/2007
Last updated
08/22/2020
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