| NPI | 1003885468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA ELAINE BUTLER Administrator 304-846-2573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: WV 128) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2020-08-22 |