# PINE VIEW NURSING & CONVALESCENT HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PINE VIEW NURSING & REHABILITATION
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497752455
- **Authorized official:** LYNDA C KIRK (SEC/TREAS)
- **Authorized official phone:** (304) 643-2712

## Contact information

- **Practice address:** 400 MCKINLEY AVE, HARRISVILLE, WV 26362-1150
- **Practice address phone:** (304) 643-2712
- **Practice address fax:** (304) 643-4979
- **Mailing address:** 400 MCKINLEY AVE, HARRISVILLE, WV 26362-1150
- **Mailing address phone:** (304) 643-2712
- **Mailing address fax:** (304) 643-4979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 19 | WV | Yes |

## Other

- **Enumeration date:** 07/06/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0003828000 | — | WV |