| NPI | 1851388722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD R KIRSCH Administrator 304-242-1093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WV 50) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2020-08-22 |