| NPI | 1194816025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANELLE WANDLING Administrator 304-675-0860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: WV 180) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-11-16 |