# MAIN STREET HINTON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Main Street Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730439860
- **Authorized official:** MARY LOU HALEY (BOARD PRESIDENT)
- **Authorized official phone:** (304) 466-5332

## Contact information

- **Practice address:** 1500 TERRACE ST, SUITE 300, HINTON, WV 25951-9768
- **Practice address phone:** (304) 466-6090
- **Mailing address:** 1500 TERRACE ST, SUITE 300, HINTON, WV 25951-9768

## Taxonomy

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

## Other

- **Enumeration date:** 09/17/2012
- **Last updated:** 09/17/2012