# LAKIN 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 Lakin
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326929829
- **Authorized official:** PAUL PRUITT (CEO)
- **Authorized official phone:** (616) 340-2707

## Contact information

- **Practice address:** 11522 OHIO RIVER RD, WEST COLUMBIA, WV 25287-8520
- **Practice address phone:** (304) 675-0860
- **Mailing address:** 11522 OHIO RIVER RD, WEST COLUMBIA, WV 25287-8520
- **Mailing address phone:** (304) 675-0860

## Taxonomy

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

## Other

- **Enumeration date:** 09/10/2025
- **Last updated:** 10/23/2025
