# MONTGOMERY GENERAL ELDERLY CARE CENTER, INC.

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

## Provider details

- **NPI number:** 1053410985
- **Authorized official:** URSULA PERRY NHA (ADMINISTRATOR)
- **Authorized official phone:** (304) 442-1248

## Contact information

- **Practice address:** 501 ADAMS ST, MONTGOMERY, WV 25136-2124
- **Practice address phone:** (304) 442-7479
- **Mailing address:** 501 ADAMS ST, MONTGOMERY, WV 25136-2124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 106 | WV | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 02/02/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0004199000 | — | WV |