# CORTLAND ACRES ASSOCIATION INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1063511731
- **Authorized official:** MRS. BETH A CLEVENGER (ADMINISTRATOR)
- **Authorized official phone:** (304) 463-4181

## Contact information

- **Practice address:** 39 CORTLAND ACRES LN, THOMAS, WV 26292-8018
- **Practice address phone:** (304) 463-4181
- **Practice address fax:** (304) 463-4190
- **Mailing address:** 39 CORTLAND ACRES LN, THOMAS, WV 26292-8018
- **Mailing address phone:** (304) 463-4181
- **Mailing address fax:** (304) 463-4190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 74 | WV | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 07/19/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0003124000 | — | WV |
| 01 | — | 001706329 | MT. STATE BC BS | WV |
| 05 | — | 0158279000 | — | WV |