Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
261QP2300X |
| NPI # | 1629615364 |
| LBN Legal business name | IRONTON & LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION |
| Authorized official | DONALD GOSSETT - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/02/2019 |
| Last updated | 12/15/2025 - About 6 months ago |
| Identifiers | n/a |
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