| Organization Name: | JEFFERSON COUNTY COUNCIL ON AGING |
| NPI Number: | 1295152429 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SARAH PIERSON (FINANCE OFFICER) |
| Mailing Address: | 103 W 5th Ave Ranson |
| State: | WV US |
| Postal Code: | 254381405 |
| Phone Number: | 3047247109 |
| Fax Number: | 3047259500 |
| NPI Enumeration Date: | 03/26/2014 |
| NPI Last Update Date: | 03/26/2014 |
| 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 |