| 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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