# NELLAS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003813510
- **Authorized official:** MR. THOMAS R. EIDELL SR. (ADMINISTRATOR/PRESIDENT)
- **Authorized official phone:** (304) 636-1008

## Contact information

- **Practice address:** FERGUSON ROAD, BLDG 1, ELKINS, WV 26241-1639
- **Practice address phone:** (304) 636-1008
- **Practice address fax:** (304) 637-6106
- **Mailing address:** PO BOX 1639, FERGUSON ROAD, BLDG 1, ELKINS, WV 26241-1639
- **Mailing address phone:** (304) 636-1008
- **Mailing address fax:** (304) 637-6106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 51 | WV | Yes |

## Other

- **Enumeration date:** 06/30/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0003795000 | — | WV |