# STONEWALL JACKSON MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** STONEWALL JACKSON HOME CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083617989
- **Authorized official:** MRS. M. JANE EISENBEIS RN (DIRECTOR OF EXTERNAL OPERATIONS)
- **Authorized official phone:** (304) 269-4556

## Contact information

- **Practice address:** 456 SUITE B MARKET PLACE MALL, WESTON, WV 26452-6938
- **Practice address phone:** (304) 269-4556
- **Practice address fax:** (304) 269-4559
- **Mailing address:** 456 SUITE B MARKET PLACE MALL, WESTON, WV 26452-6938
- **Mailing address phone:** (304) 269-4556
- **Mailing address fax:** (304) 269-4559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | WV | Yes |

## Other

- **Enumeration date:** 05/24/2005
- **Last updated:** 07/21/2022