| NPI | 1164421756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI L HENDERSON CEO/ Owner 304-842-7101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WV 104) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2011-11-04 |