Provider Demographics
NPI:1952872939
Name:MCDOWELL COUNTY COMMISSION ON AGING, INC.
Entity Type:Organization
Organization Name:MCDOWELL COUNTY COMMISSION ON AGING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:R
Authorized Official - Last Name:REED
Authorized Official - Suffix:JR
Authorized Official - Credentials:DRPH
Authorized Official - Phone:304-436-6588
Mailing Address - Street 1:725 STEWART ST
Mailing Address - Street 2:
Mailing Address - City:WELCH
Mailing Address - State:WV
Mailing Address - Zip Code:24801-2125
Mailing Address - Country:US
Mailing Address - Phone:304-436-6588
Mailing Address - Fax:
Practice Address - Street 1:725 STEWART ST
Practice Address - Street 2:
Practice Address - City:WELCH
Practice Address - State:WV
Practice Address - Zip Code:24801-2125
Practice Address - Country:US
Practice Address - Phone:304-436-6588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health