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NPI Code Detail

MEDICARE: ELDER AIDE SERVICES

MEDICARE: ELDER AIDE SERVICES
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1952526303
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELDER AIDE SERVICES
Provider Business Mailing Address
First Line : PO BOX 20112
Second Line : 513 CENTRAL AVENUE
City : CHARLESTON
State : WV
Zip : 25362-1112
Country : US
Telephone Number : 304-344-0586
Fax Number :
Provider Business Practice Location Address
First Line : 513 CENTRAL AVENUE
Second Line :
City : CHARLESTON
State : WV
Zip : 25302-2811
Country : US
Telephone Number : 304-344-0586
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. ERIC ALLEN HICKS I
Credential :
Telephone Number : 304-344-0586
Provider Enumeration Date : 04/13/2007
Last Update Date : 08/22/2020

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Directions to “ELDER AIDE SERVICES ” Practice Location

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