NPI 1114915519

Logan Park Care Center, INC.

Organisation Nursing Facility/Intermediate Care Facility Logan, WV

Practice location

Address: 1000 W Park Ave, Logan, WV 25601-3155
Phone: (304) 752-8761
Fax: (304) 752-8768

Authorised official

Name: Thomas Sphatt
Title: Chief of Operations & Finance
Phone: (304) 752-8761

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 86 (WV)

Other Nursing Facility/Intermediate Care Facility providers in West Virginia →

Registry record

NPI: 1114915519
Entity type: Organization
NPI issued: 10 Oct 2005
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.