| NPI | 1568847606 |
|---|---|
| Doing Business As | CLARY GROVE |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE A PACK Manager 304-343-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WV 52) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: WV 52) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2022-12-02 |