# MANCHIN WVA FACILITY OPERATIONS LLC

> 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
- **Other names:** Majestic Care of Manchin
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215818711
- **Authorized official:** PAUL PRUITT (CEO)
- **Authorized official phone:** (616) 340-2707

## Contact information

- **Practice address:** 401 GUFFEY ST, FAIRMONT, WV 26554-4029
- **Practice address phone:** (304) 363-2500
- **Mailing address:** 401 GUFFEY ST, FAIRMONT, WV 26554-4029
- **Mailing address phone:** (304) 363-2500

## Taxonomy

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

## Other

- **Enumeration date:** 09/10/2025
- **Last updated:** 11/03/2025
