| NPI | 1548373418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNICA A STANSBERRY Administrator 304-529-6031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WV 8) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-08-22 |