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General NPI Number Information
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NPI Number | 1215060074
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Entity Type | Organization
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Legal Business Name | WAYNE COUNTY COMMUNITY SERVICE ORG., INC.
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3609 HUGHES ST
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City | HUNTINGTON
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State | WV
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Zip | 25704-1915
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Country | US
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Telephone | 304-429-0070
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Fax | 304-429-0026
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Provider Business Mailing Address
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Address Line | 3609 HUGHES ST
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City | HUNTINGTON
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State | WV
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Zip | 25704-1915
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Country | US
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Telephone | 304-429-0070
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Fax | 304-429-0026
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. ROSE MARIE MEREDITH
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Credential | LSW
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Telephone | 304-429-0070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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