| NPI | 1558816157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE Y BAKER Manager Insurance Credentialing 540-536-0231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WV 60) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |