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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