Provider Demographics
NPI:1376948539
Name:ALL ABOUT CARE
Entity Type:Organization
Organization Name:ALL ABOUT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-784-2386
Mailing Address - Street 1:163 PRICHARD RD
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25053-6891
Mailing Address - Country:US
Mailing Address - Phone:304-369-2273
Mailing Address - Fax:304-369-2274
Practice Address - Street 1:163 PRICHARD RD
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:WV
Practice Address - Zip Code:25053-6891
Practice Address - Country:US
Practice Address - Phone:304-369-2273
Practice Address - Fax:304-369-2274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-30
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810022477Medicaid