NPI | 1972936482 |
---|---|
Doing Business As | STONERISE CHARLESTON |
Entity Type | Organization |
Authorized Contact | LAWRENCE A PACK Owner/Manager 304-343-1950 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: WV 65) |
Enumeration Date | 2013-08-20 |
Last Update Date | 2022-05-18 |