Coordinating Council For Independent Living
LBN: Mulberry Street Management Services, Inc.
Coordinating Council For Independent Living is an health care organization with primary practice located at 1097 Greenbag Rd , Morgantown WV 26508-1532. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Home Health. Agencies / Case Management is the primary health care specialty.
Mulberry Street Management Services, Inc. can be contacted via phone (304) 291-9066, or through Plevich, Mary S via phone (304) 291-9066.
Contact Information
Primary practice address
1097 Greenbag Rd
Morgantown WV 26508-1532
Phone: (304) 291-9066
Fax: (304) 291-2119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | 310 | West Virginia |
| Agencies / Home Health | 251E00000X |
Profile Details
| NPI number | 1306944236 |
|---|---|
| LBN Legal business name | Mulberry Street Management Services, Inc. |
| DBA Doing business as | Coordinating Council For Independent Living |
| Authorized official | Plevich, Mary S |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Aug 9th, 2007 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306944236 | NPPES |
| West Virginia | MEDICAID | 0030447003 |
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