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NPI Code Detail

MEDICARE: TUCKER COUNTY SENIOR CITIZENS, INC.

MEDICARE: TUCKER COUNTY SENIOR CITIZENS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care AgencyWV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508265562
Entity Type Code : Organization
Provider Name (Legal Business Name) : TUCKER COUNTY SENIOR CITIZENS, INC.
Provider Business Mailing Address
First Line : 217 SENIOR LN
Second Line :
City : PARSONS
State : WV
Zip : 26287-1321
Country : US
Telephone Number : 304-478-2423
Fax Number : 304-478-4828
Provider Business Practice Location Address
First Line : 217 SENIOR LN
Second Line :
City : PARSONS
State : WV
Zip : 26287-1321
Country : US
Telephone Number : 304-478-2423
Fax Number : 304-478-4828
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MRS. ROXANNE NESTOR TUESING
Credential :
Telephone Number : 304-478-2423
Provider Enumeration Date : 08/15/2014
Last Update Date : 08/15/2014

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