NPI | 1508851551 |
---|---|
Entity Type | Organization |
Authorized Contact | CONNIE TOMSHACK Administrator 304-258-4330 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WV 506067) |
Enumeration Date | 2005-09-15 |
Last Update Date | 2020-08-22 |