| R Legacy Inv Llc | |
|
4706 Knottsville Rd Grafton WV 26354-7286 | |
| (304) 265-2874 | |
| Not Available |
| Full Name | R Legacy Inv Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4706 Knottsville Rd, Grafton, West Virginia |
| Authorized Official Name and Position | Troy K Rickles (OWNER) |
| Authorized Official Contact | 3046694829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R Legacy Inv Llc 4107 S Tamiami Trl # 326 Venice FL 34293-5109 Ph: (304) 669-4829 | R Legacy Inv Llc 4706 Knottsville Rd Grafton WV 26354-7286 Ph: (304) 265-2874 |
| NPI Number | 1861253569 |
|---|---|
| Provider Enumeration Date | 01/19/2024 |
| Last Update Date | 01/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861253569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Preston Taylor Community Health Centers, Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 North Pike Street, Grafton, WV 26354 Phone: 304-265-0312 Fax: 304-265-0314 | |