| NPI | 1336200344 |
|---|---|
| Doing Business As | TYGART VALLEY TOTAL CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JEFFREY E LILLEY Administrator 304-265-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: WV 14) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2010-08-23 |