| NPI | 1073501466 |
|---|---|
| Doing Business As | WISHING WELL MANOR |
| Entity Type | Organization |
| Authorized Contact | CARLENE S. MOORE Controller 304-366-8414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WV 59) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: WV 132) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2020-08-22 |