Organization Name: | COUNCIL OF SENIOR TYLER COUNTIANS, INC. |
NPI Number: | 1295151207 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMY HAUGHT (EXECUTIVE DIRECTOR) |
Mailing Address: | 504 Cherry Street Middlebourne |
State: | WV US |
Postal Code: | 26149 |
Phone Number: | 3047584919 |
Fax Number: | 3047584680 |
NPI Enumeration Date: | 03/14/2014 |
NPI Last Update Date: | 03/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |