| NPI | 1043207731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA JO DRAZDIK Secretary 304-765-2861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WV 103) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2013-10-10 |