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NPI Code Detail

MEDICARE: ELDER AIDE SERVICES

MEDICARE: ELDER AIDE SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251J00000XNursing Care Agency
2251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205044765
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELDER AIDE SERVICES
Provider Business Mailing Address
First Line : PO BOX 20112
Second Line :
City : CHARLESTON
State : WV
Zip : 25362-1112
Country : US
Telephone Number : 304-344-0586
Fax Number : 304-344-0587
Provider Business Practice Location Address
First Line : 1599 2ND AVE
Second Line :
City : CHARLESTON
State : WV
Zip : 25387-2514
Country : US
Telephone Number : 304-344-0586
Fax Number : 304-344-0587
Authorized Official
Title or Position : OWNER
Name : MR. ERIC ALLEN HICKS
Credential :
Telephone Number : 304-344-0586
Provider Enumeration Date : 05/18/2007
Last Update Date : 02/12/2021

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1942723093 — ELDER AIDE SERVICES
Practice Location Address:
1599 2ND AVE
CHARLESTON, WV
25387-2514
Practice Phone: 304-344-0586
Practice Fax: 304-344-0587

Directions to “ELDER AIDE SERVICES ” Practice Location

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