Organization
KANAWHA VALLEY SENIOR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE HIRST (EXECUTIVE DIRECTOR)
(304) 348-0707
Entity
Organization
Contact information
Practice address
1710 PENNSYLVANIA AVE, CHARLESTON, WV 25302-3934
(304) 348-0707
(304) 348-6432
Mailing address
1710 PENNSYLVANIA AVE, CHARLESTON, WV 25302-3934
(304) 348-0707
(304) 348-6432
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023790006
—
WV
Enumeration date
05/01/2007
Last updated
09/09/2024
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