# PLEASANT VALLEY NURSING AND REHABILITATION CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pleasant Valley Nurse Care Cen
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720281975
- **Authorized official:** CRAIG GILLILAND (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (304) 675-4340

## Contact information

- **Practice address:** 640 SANDHILL RD, PT PLEASANT, WV 25550-2163
- **Practice address phone:** (304) 675-5236
- **Practice address fax:** (304) 675-2805
- **Mailing address:** 640 SANDHILL RD, PT PLEASANT, WV 25550-2163
- **Mailing address phone:** (304) 675-5236
- **Mailing address fax:** (304) 675-2805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 06 | WV | — |
| 314000000X | Skilled Nursing Facility | 06 | WV | Yes |

## Other

- **Enumeration date:** 06/06/2007
- **Last updated:** 05/14/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0001300001 | — | WV |
| 01 | — | 000324425 | BCBS | WV |
| 01 | — | 55044008603 | WORKERS COMPENSATION | WV |