# PRIDE IN LOGAN COUNTY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104044510
- **Authorized official:** MS. BRENDA YORK (BILLING CLERK)
- **Authorized official phone:** (304) 752-2585

## Contact information

- **Practice address:** 699 STRATTON ST, LOGAN, WV 25601-4020
- **Practice address phone:** (304) 752-2585
- **Practice address fax:** (304) 752-1047
- **Mailing address:** PO BOX 1346, LOGAN, WV 25601-1346
- **Mailing address phone:** (304) 752-2585
- **Mailing address fax:** (304) 752-1047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 08/22/2020