Healthcare Provider Details

I. General information

NPI: 1245228071
Provider Name (Legal Business Name): PRIDE IN LOGAN CO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

699 STRATTON ST
LOGAN WV
25601-4020
US

IV. Provider business mailing address

PO BOX 1346
LOGAN WV
25601-1346
US

V. Phone/Fax

Practice location:
  • Phone: 304-752-0994
  • Fax: 304-752-1047
Mailing address:
  • Phone: 304-752-0994
  • Fax: 304-752-1047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MRS. LINDA B CURRY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 304-752-0994