| NPI | 1659368876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH DAWN ELSWICK Medical Records 304-846-2668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: WV 001) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2022-07-21 |