| NPI | 1487745436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE RAYE MINGHINI Billing Supervisor 304-260-1435 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WV 80) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2008-08-28 |