Organization
NCGCARE ACQUISITION, LLC
Active
Other names
Starlight Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH CATHERINE MAYO (FINANCIAL ANALYST)
(304) 208-3715
Entity
Organization
Contact information
Practice address
203 LOWER OVERLOOK DR, HURRICANE, WV 25526-9025
(304) 302-2078
(304) 302-7260
Mailing address
5317 CHERRY LAWN RD, HUNTINGTON, WV 25705-2032
(304) 302-2078
(304) 302-7260
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
08/04/2020
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