| NPI | 1114915519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS SPHATT Chief Of Operations & Finance 304-752-8761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: WV 86) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2020-08-22 |