| NPI | 1053542555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN N COFFINDAFFER PT A 304-476-8053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WV 1393) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2009-07-31 |