Aging And Family Services Of Mineral County, Inc. | |
1 S Main St Keyser WV 26726-3127 | |
(304) 788-5467 | |
(304) 788-6363 |
Full Name | Aging And Family Services Of Mineral County, Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 1 S Main St, Keyser, West Virginia |
Authorized Official Name and Position | Robert Scott Mallery (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3047885467 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Aging And Family Services Of Mineral County, Inc. 1 S Main St Keyser WV 26726-3127 Ph: (304) 788-5467 | Aging And Family Services Of Mineral County, Inc. 1 S Main St Keyser WV 26726-3127 Ph: (304) 788-5467 |
NPI Number | 1871628941 |
---|---|
Provider Enumeration Date | 02/22/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871628941 | NPI | - | NPPES |
0030679000 | Medicaid | WV | |
0030679001 | Medicaid | WV | |
0030679002 | Medicaid | WV | |
9030021000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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