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Organization
MONTGOMERY GENERAL ELDERLY CARE CENTER, INC.
Active
Organization
MONTGOMERY GENERAL ELDERLY CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
URSULA PERRY NHA (ADMINISTRATOR)
(304) 442-1248
Entity
Organization
Contact information
Practice address
501 ADAMS ST, MONTGOMERY, WV 25136-2124
(304) 442-7479
Mailing address
501 ADAMS ST, MONTGOMERY, WV 25136-2124
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
106
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004199000
—
WV
Enumeration date
09/21/2006
Last updated
02/02/2023
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