NPI | 1417963000 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROL D MERRILL CEO Administrator 304-363-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
Enumeration Date | 2006-08-01 |
Last Update Date | 2007-12-04 |