Kanawha Valley Senior Services | |
2428 Kanawha Blvd E Charleston WV 25311-2323 | |
(304) 348-0707 | |
(304) 348-6432 |
Full Name | Kanawha Valley Senior Services |
---|---|
Speciality | Community/behavioral Health |
Location | 2428 Kanawha Blvd E, Charleston, West Virginia |
Authorized Official Name and Position | Scott Mcclanahan (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3043480707 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kanawha Valley Senior Services 2428 Kanawha Blvd E Charleston WV 25311-2323 Ph: (304) 348-0707 | Kanawha Valley Senior Services 2428 Kanawha Blvd E Charleston WV 25311-2323 Ph: (304) 348-0707 |
NPI Number | 1073734067 |
---|---|
Provider Enumeration Date | 05/01/2007 |
Last Update Date | 07/02/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073734067 | NPI | - | NPPES |
0023790004 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (West Virginia) | Primary |
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