| NPI | 1912992090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCY GAIL FARINACCI Administrator 304-534-5117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WV 34) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2025-08-06 |