Healthcare Provider Details

I. General information

NPI: 1295562783
Provider Name (Legal Business Name): WIN CARE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2024
Last Update Date: 01/03/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 E MAIN ST
FLOYD VA
24091-2620
US

IV. Provider business mailing address

706 E MAIN ST
FLOYD VA
24091
US

V. Phone/Fax

Practice location:
  • Phone: 540-977-8700
  • Fax: 540-346-4418
Mailing address:
  • Phone: 540-977-8700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: PAMELA LOGAN
Title or Position: CEO
Credential: CNP
Phone: 540-977-8700