Mainstream Services, Incorporated
Case Management in Lavalette, WV. Organization (NPI-2).
NPI number1902801426
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1902801426
- Entity type
- Organization (NPI-2)
- Legal business name
- Mainstream Services, Incorporated
- Organization subpart
- No
- Enumeration date
- Jun 21, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | 278 | WV | Yes |
Practice location
4757c Route 152Lavalette, WV 25535-9703
Phone 304-522-1945 · Fax 304-522-1946
Mailing address
4757c Route 152Lavalette, WV 25535-9703
Phone 304-522-1945 · Fax 304-522-1946
Authorized official
Deana Prince
Service Coordinator
3045221945
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