Provider Demographics
NPI:1194012351
Name:WOOD COUNTY SENIOR CITIZENS ASSOC.
Entity Type:Organization
Organization Name:WOOD COUNTY SENIOR CITIZENS ASSOC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:DENNIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-485-6748
Mailing Address - Street 1:914 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-4777
Mailing Address - Country:US
Mailing Address - Phone:304-485-6748
Mailing Address - Fax:304-485-8755
Practice Address - Street 1:914 MARKET ST
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-4777
Practice Address - Country:US
Practice Address - Phone:304-485-6748
Practice Address - Fax:304-485-8755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-07
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)