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General NPI Number Information
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NPI Number | 1407852957
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Entity Type | Organization
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Legal Business Name | SUMMERS COUNTY COUNCIL ON AGING, INC
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Dates
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Enumeration Date | 06/21/2005
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 120 2ND AVE
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City | HINTON
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State | WV
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Zip | 25951-2402
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Country | US
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Telephone | 304-466-4019
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Fax | 304-466-1890
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Provider Business Mailing Address
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Address Line | 120 2ND AVE
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City | HINTON
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State | WV
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Zip | 25951-2402
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Country | US
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Telephone | 304-466-4019
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Fax | 304-466-1890
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. CINTHIA GARRETT
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Credential |
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Telephone | 304-466-4019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State | WV
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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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