# VALLEY HAVEN GERIATRIC CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VALLEY HAVEN GERIATRIC CENTER INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164410775
- **Legal business name:** VALLEY HAVEN GERIATRIC CENTER INC
- **Authorized official:** MR. MICHAEL L ANDERSON (PRESIDENT-ADMINISTRATOR)
- **Authorized official phone:** (304) 394-5322

## Contact information

- **Practice address:** RD\#2 BOX 44, WELLSBURG, WV 26070-9505
- **Practice address phone:** (304) 394-5322
- **Practice address fax:** (304) 394-1242
- **Mailing address:** RD\#2 BOX 44, WELLSBURG, WV 26070-9505
- **Mailing address phone:** (304) 394-5322
- **Mailing address fax:** (304) 394-1242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 113 | WV | Yes |

## Other

- **Enumeration date:** 10/07/2005
- **Last updated:** 11/22/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0003883000 | — | WV |