| NPI | 1063562288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA JEAN LOVEJOY Administrator 304-294-7587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WV 506120) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |