Organization
PRESTON COUNTY SENIOR CITIZENS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIDNEY MURPHY (EXECUTIVE DIRECTOR)
(304) 329-0464
Entity
Organization
Contact information
Practice address
421 E. MAIN ST., KINGWOOD, WV 26537
(304) 329-0464
(304) 329-2584
Mailing address
PO BOX 10, KINGWOOD, WV 26537-0010
(304) 329-0464
(304) 329-2584
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030957001
—
WV
Enumeration date
04/17/2007
Last updated
08/22/2020
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