| NPI | 1790865962 |
|---|---|
| Doing Business As | SUNDALE NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | MICHAEL WAYNE HICKS Managing Agent 304-599-0497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WV 23) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2023-03-27 |