Type | Address | [sources] | |||
---|---|---|---|---|---|
Country | United States of America | [sources] | |||
City | South Charleston | [sources] | |||
Full address | 4501 MacCorkle Avenue SE, Suite A, South Charleston, WV 25309 | [sources] | |||
Postal code | 25309 | [sources] | |||
State | WV | [sources] | |||
Street address | 4501 MacCorkle Avenue SE, Suite A | [sources] | |||
Last change | Last processed | First seen |
No relationships to other entities found.
Medicaid providers sanctioned in West Virginia's Medicaid program.
United States of America · MMIS
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