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Organization
TRI STATE HOME CARE SERVICES, LLC
Active
Organization
TRI STATE HOME CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD KYLE HARRIS II (OWNER)
(855) 813-1332
Entity
Organization
Contact information
Practice address
128 PRESIDENTS ST, FORT ASHBY, WV 26719-0017
(558) 813-1332
(304) 298-3435
Mailing address
PO BOX 17, FORT ASHBY, WV 26719-0017
(304) 298-3434
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043763907
—
WV
Enumeration date
07/27/2016
Last updated
09/11/2025
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