Wishing Well Manor, Inc.
NPI #1073501466 in Fairmont, West Virginia
Provider Information
- NPI Number
- 1073501466
- Entity Type
- Organization
- Organization Name
- Wishing Well Manor, Inc.
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Oct 10, 2005
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 1543 COUNTRY CLUB RD
- City
- Fairmont
- State
- West Virginia
- ZIP Code
- 26554-1306
- Phone
- (304) 366-8414
Authorized Official
- Name
- MRS. CARLENE S. MOORE, NHA
- Title
- CONTROLLER
- Phone
- (304) 366-8414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
| Assisted Living Facility |
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