# MARTINSBURG CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stonerise Martinsburg, Clary Grove
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568847606
- **Authorized official:** MR. LAWRENCE A PACK (MANAGER)
- **Authorized official phone:** (304) 343-1950

## Contact information

- **Practice address:** 209 CLOVER ST, MARTINSBURG, WV 25404-3803
- **Practice address phone:** (304) 263-8921
- **Practice address fax:** (304) 263-2548
- **Mailing address:** 7500 MACCORKLE AVE SE, CHARLESTON, WV 25304-2935
- **Mailing address phone:** (304) 343-1950
- **Mailing address fax:** (304) 343-1947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 52 | WV | — |
| 314000000X | Skilled Nursing Facility | 52 | WV | Yes |

## Other

- **Enumeration date:** 07/29/2015
- **Last updated:** 12/02/2022