OrganizationActive
Commission on Aging Family Services
NPI 1174721963 · Community Based Hospice Care Agency · Petersburg, WV
Provider details
- NPI number
- 1174721963
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Darlene Evans, Executive Director(304) 257-1666
Specialties & taxonomies
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
Practice location
111 Virginia Ave
Petersburg, WV 26847-1713
Phone: (304) 257-1666
Fax: (304) 257-9145
Approximate (ZIP-level) locationGet directions
Mailing address
111 Virginia Ave
Petersburg, WV 26847-1713
Registry dates
- Enumerated
- 2007-07-03
- Last updated
- 2023-08-31
- Certified
- 2023-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.