| NPI | 1619969706 |
|---|---|
| Other Name | JACKIE WITHROW HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | CARLA JEAN PARENT Chief Financial Officer 304-256-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: WV 181) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2010-02-05 |