# JAY WYN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Woodland Hills Cottage Assisted Living
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396155487
- **Authorized official:** MRS. TAMELA SUE MCQUISTON (ADMINISTRATOR/OWNER)
- **Authorized official phone:** (304) 231-4938

## Contact information

- **Practice address:** 608 NORTH 10TH STREET, WEIRTON, WV 26062
- **Practice address phone:** (304) 748-3943
- **Practice address fax:** (304) 748-3944
- **Mailing address:** P.O. BOX 102, FOLLANSBEE, WV 26062
- **Mailing address phone:** (304) 527-5400
- **Mailing address fax:** (304) 527-5455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 507575 | WV | Yes |

## Other

- **Enumeration date:** 04/29/2014
- **Last updated:** 04/29/2014