Provider Demographics
NPI:1235671041
Name:WOOD COUNTY COMMISSION
Entity Type:Organization
Organization Name:WOOD COUNTY COMMISSION
Other - Org Name:MID-OHIO VALLEY DAY REPORT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HERNANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCANDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-442-8570
Mailing Address - Street 1:1531 GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-0003
Mailing Address - Country:US
Mailing Address - Phone:304-442-8570
Mailing Address - Fax:304-422-8579
Practice Address - Street 1:1531 GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-0003
Practice Address - Country:US
Practice Address - Phone:304-442-8570
Practice Address - Fax:304-422-8579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-10
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder