# ARBORS OF FAIRMONT

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

## Provider details

- **NPI number:** 1053542555
- **Authorized official:** LAUREN N COFFINDAFFER (PTA)
- **Authorized official phone:** (304) 476-8053

## Contact information

- **Practice address:** 1700 BIG TREE DR APT 79, FAIRMONT, WV 26554-8310
- **Practice address phone:** (304) 476-8053
- **Mailing address:** 1700 BIG TREE DR APT 79, FAIRMONT, WV 26554-8310
- **Mailing address phone:** (304) 476-8053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1393 | WV | Yes |

## Other

- **Enumeration date:** 07/31/2009
- **Last updated:** 07/31/2009