400 Mckinley Avenue Operations LLC
NPI #1982484671 in Harrisville, West Virginia
Provider Information
- NPI Number
- 1982484671
- Entity Type
- Organization
- Organization Name
- 400 Mckinley Avenue Operations LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 2, 2023
- Last Updated
- Oct 2, 2023
Practice Location
- Address
- 400 MCKINLEY AVE
- City
- Harrisville
- State
- West Virginia
- ZIP Code
- 26362-1150
- Phone
- (304) 643-2712
Authorized Official
- Name
- MICHAEL BERG
- Title
- ASSISTANT SECRETARY
- Phone
- (610) 444-6350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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