NPI | 1790924454 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBYN M MCDANIEL Provider Relations Supervisor 304-293-5033 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2009-02-19 |
Last Update Date | 2009-02-19 |