NPI | 1952536377 |
---|---|
Doing Business As | STONERISE LINDSIDE |
Entity Type | Organization |
Authorized Contact | LAWRENCE A PACK Manager 304-343-1950 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: WV 126) |
Enumeration Date | 2009-05-29 |
Last Update Date | 2022-05-18 |