Moundsville Center LLC

NPI #1063906303 in Moundsville, West Virginia

Provider Information

NPI Number
1063906303
Entity Type
Organization
Organization Name
Moundsville Center LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 20, 2018
Last Updated
May 18, 2022

Practice Location

Address
2200 FLORAL ST
ZIP Code
26041-1293
Phone
(304) 843-1035

Authorized Official

Name
MR. LAWRENCE A PACK
Title
MEMBER
Phone
(304) 343-1950

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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