Organization
TRINITY HEALTH CARE SERVICES OF LOGAN INC
Active
Other names
Trinity Health Care of Logan
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD G VANCE CPA (PRESIDENT)
(704) 369-7200
Entity
Organization
Contact information
Practice address
1000 W PARK AVE, LOGAN, WV 25601-3155
(304) 752-8723
(304) 752-7711
Mailing address
2115 REXFORD RD STE 100, CHARLOTTE, NC 28211-3476
(704) 369-7200
(704) 362-0411
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
86
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810006016
—
WV
Enumeration date
10/25/2006
Last updated
03/07/2008
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