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Organization
MAIN STREET HINTON
Active
Organization
MAIN STREET HINTON
Active
Other names
Main Street Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LOU HALEY (BOARD PRESIDENT)
(304) 466-5332
Entity
Organization
Contact information
Practice address
1500 TERRACE ST, SUITE 300, HINTON, WV 25951-9768
(304) 466-6090
Mailing address
1500 TERRACE ST, SUITE 300, HINTON, WV 25951-9768
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
WV
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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