Healthcare Provider Details

I. General information

NPI: 1912811084
Provider Name (Legal Business Name): MONARCH SUPPORT SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 CHERRY LAWN RD
HUNTINGTON WV
25705-8856
US

IV. Provider business mailing address

PO BOX 3061
HUNTINGTON WV
25702-0061
US

V. Phone/Fax

Practice location:
  • Phone: 304-208-3715
  • Fax:
Mailing address:
  • Phone: 304-208-3715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: HANNAH MAYO
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 304-208-3715