Organization
PRESTON HEALTH CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN L GOODWIN RN (OWNER/REGISTERED NURSE)
(304) 441-2001
Entity
Organization
Contact information
Practice address
1343 N PRESTON HWY, KINGWOOD, WV 26537-7633
(304) 441-2001
Mailing address
PO BOX 25, KINGWOOD, WV 26537-0025
(304) 441-2001
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
62752
WV
Other
Enumeration date
09/11/2009
Last updated
12/02/2009
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