Healthcare Provider Details

I. General information

NPI: 1356264378
Provider Name (Legal Business Name): APPALACHIAN ADVOCACY SENIORS AND DISABILITY CARE MANAGEMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 MAIN AVE
WESTON WV
26452-2060
US

IV. Provider business mailing address

PO BOX 53
WESTON WV
26452-0053
US

V. Phone/Fax

Practice location:
  • Phone: 304-269-6762
  • Fax: 304-269-1439
Mailing address:
  • Phone: 304-269-6762
  • Fax: 304-269-1439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY PRICHARD
Title or Position: VICE PRESIDENT/CO-OWNER
Credential: RN
Phone: 304-269-6762