NPI 1154579936

Change INC Family Medical Care

Organisation Developmentally Disabled Services Day Training Agency Weirton, WV

Practice location

Address: 3136 West St, Weirton, WV 26062-4637
Phone: (304) 748-2828

Authorised official

Name: Amanda Grace Raveaux
Title: Billing Manager
Phone: (304) 748-2828

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in West Virginia →

Registry record

NPI: 1154579936
Entity type: Organization
NPI issued: 4 Sep 2008
Record last updated: 4 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.