| NPI | 1558614560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY HAYES Managing Member 304-842-9887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WV 1063692333) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |