| NPI | 1194728097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN M SUTPHIN Administrator 304-949-1580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WV 121) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-08-22 |