# TRINITY HEALTH CARE SERVICES OF LOGAN INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Trinity Health Care of Logan
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386729036
- **Authorized official:** MR. RONALD G VANCE CPA (PRESIDENT)
- **Authorized official phone:** (704) 369-7200

## Contact information

- **Practice address:** 1000 W PARK AVE, LOGAN, WV 25601-3155
- **Practice address phone:** (304) 752-8723
- **Practice address fax:** (304) 752-7711
- **Mailing address:** 2115 REXFORD RD STE 100, CHARLOTTE, NC 28211-3476
- **Mailing address phone:** (704) 369-7200
- **Mailing address fax:** (704) 362-0411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 86 | WV | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 03/07/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3810006016 | — | WV |