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 / In Home Supportive Care. Agencies / In Home Supportive Care 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:
Map and Directions
Authorized official contact:
Name: Plevich, Mary S
Phone: (304) 291-9066

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1255523494
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 Aug 13th, 2007
Last updated Feb 24th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255523494 NPPES
West Virginia MEDICAID 3810004819

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