Organization Name: | SUMMERS COUNTY COUNCIL ON AGING, INC |
NPI Number: | 1790193977 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINVILLE F GOINS (EXECUTIVE DIRECTOR) |
Mailing Address: | 120 2nd Ave Hinton |
State: | WV US |
Postal Code: | 259512402 |
Phone Number: | 3044664019 |
Fax Number: | 3044661890 |
NPI Enumeration Date: | 07/31/2014 |
NPI Last Update Date: | 07/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | UD000121045001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |