Pride Community Services, Inc., NPI 1922371400
Developmentally Disabled Services Day Training Agency in Logan, WV, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1922371400
NPI Entity Type Organization
Provider Name Pride Community Services, Inc.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 699 Stratton St, Logan, WV, US
Provider Mailing Address Po Box 1346, Logan, WV, US, 256011346
Is Sole Proprietor? No
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Organization Official

Official Name Reginald Jones
Official Position EXECUTIVE DIRECTOR
Phone 304-752-6868

Primary Taxonomy

Taxonomy Code

251C00000X

Taxonomy Name Developmentally Disabled Services Day Training Agency
Classification

Day Training, Developmentally Disabled Services

Group

Agencies

Description These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Business Address

Pride Community Services, Inc.
699 Stratton St

Logan, WV, US

Phone: 304-752-6868
Fax: 304-752-1047

Mailing Address

Pride Community Services, Inc.
Po Box 1346
Logan, WV, US
ZIP 256011346
Phone: 304-752-6868
Fax: 304-752-1047

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
0030732002 WV MEDICAID 05
3810022724 WV MEDICAID 05
0030732000 WV MEDICAID 05
3810009467 WV MEDICAID 05

Other Providers in WV, US

NPI Name Taxonomy Address

1255056628

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Tisean Jayree Walker

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Montana Wallace

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Alexis Perry

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Stevie Dawn Cline

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Britney Brogan

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Mary Mccullough

Individual

Personal Care Attendant

1599 2nd Ave

Charleston, WV

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