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Organization
COMMUNITY PROGRESS COMMITTEE INC
Active
Organization
COMMUNITY PROGRESS COMMITTEE INC
Active
Other names
CRESTVIEW MANOR NURSING & REHABILITATION
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN B POUND (REGIONAL DIRECTOR)
(228) 861-7598
Entity
Organization
Contact information
Practice address
199 COURT ST, JANE LEW, WV 26378-8548
(304) 884-7811
(304) 884-7846
Mailing address
199 COURT ST, JANE LEW, WV 26378-8548
(304) 884-7811
(304) 884-7846
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
84
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003276000
—
WV
Enumeration date
09/13/2005
Last updated
10/18/2011
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