State of West Virginia
NPI #1619969706 in Beckley, West Virginia
Provider Information
- NPI Number
- 1619969706
- Entity Type
- Organization
- Organization Name
- State of West Virginia
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Aug 16, 2005
- Last Updated
- Feb 5, 2010
Practice Location
- Address
- 105 S EISENHOWER DR
- City
- Beckley
- State
- West Virginia
- ZIP Code
- 25801-4929
- Phone
- (304) 256-6600
Authorized Official
- Name
- MS. CARLA JEAN PARENT
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (304) 256-6600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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