# WEIRTON GERIATRIC CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699765388
- **Authorized official:** MRS. RHONDA QUATTROCHI RN (ADMINISTRATOR)
- **Authorized official phone:** (304) 723-4300

## Contact information

- **Practice address:** 2525 PENNSYLVANIA AVE, WEIRTON, WV 26062-3634
- **Practice address phone:** (304) 723-4300
- **Practice address fax:** (304) 723-1532
- **Mailing address:** 2525 PENNSYLVANIA AVE, WEIRTON, WV 26062-3634
- **Mailing address phone:** (304) 723-4300
- **Mailing address fax:** (304) 723-1532

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 49 | WV | Yes |

## Other

- **Enumeration date:** 10/25/2005
- **Last updated:** 09/22/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0003965000 | — | WV |