Organization
LINCOLN CO PRIMARY CARE CENTER INC RIGHT FROM THE START
Active
Organization
LINCOLN CO PRIMARY CARE CENTER INC RIGHT FROM THE START
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LEACH (CEO)
(304) 824-5806
Entity
Organization
Contact information
Practice address
7400 LYNN AVE, HAMLIN, WV 25523-1138
(304) 824-5806
(304) 824-5885
Mailing address
7400 LYNN AVE, HAMLIN, WV 25523-1138
(304) 824-5806
(304) 824-5885
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810011413
—
WV
Enumeration date
05/19/2008
Last updated
10/02/2018
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