Organization Name: | MONROE COUNTY COUNCIL ON AGING |
NPI Number: | 1952721987 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRUCE L. POWER (CHIEF OPERATION OFFICER) |
Mailing Address: | 8395 Seneca Trail South Lindside |
State: | WV US |
Postal Code: | 249510149 |
Phone Number: | 3047534384 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2014 |
NPI Last Update Date: | 04/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | 1025-2097 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |