Healthcare Provider Details

I. General information

NPI: 1063556686
Provider Name (Legal Business Name): AREA CONNECT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 TEAYS VALLEY RD SUITE B
HURRICANE WV
25526-9321
US

IV. Provider business mailing address

PO BOX 911
HURRICANE WV
25526-0911
US

V. Phone/Fax

Practice location:
  • Phone: 304-562-4455
  • Fax: 304-562-3303
Mailing address:
  • Phone: 304-562-4455
  • Fax: 304-564-3303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MRS. CATHY RENEA MOHEBBI
Title or Position: PRESIDENT
Credential:
Phone: 304-562-4455