| NPI | 1730439860 |
|---|---|
| Doing Business As | MAIN STREET CARE |
| Entity Type | Organization |
| Authorized Contact | MARY LOU HALEY Board President 304-466-5332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |