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General NPI Number Information
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NPI Number | 1295091775
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Entity Type | Organization
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Legal Business Name | PANHANDLE SUPPORT SERVICES, INC.
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Dates
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Enumeration Date | 04/09/2012
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 6441 FARMDALE RD
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-1305
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Country | US
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Telephone | 304-453-4992
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Fax | 304-453-5574
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Provider Business Mailing Address
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Address Line | 2177 NATIONAL RD P.O. BOX 3037
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City | WHEELING
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State | WV
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Zip | 26003-5238
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Country | US
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Telephone | 304-242-8404
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Fax | 304-242-6965
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Authorized Official
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Title or Position | SENIOR DIRECTOR OF OPERATIONS
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Name | EVAN BRADLEY WORRELL
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Credential |
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Telephone | 304-242-9145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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