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Organization
GRANT REHAB & CARE CENTER
Active
Organization
GRANT REHAB & CARE CENTER
Active
Other names
Grant County Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA HALLIDAY (ADMINISTRATOR)
(304) 257-4233
Entity
Organization
Contact information
Practice address
127 EARLY AVENUE, PETERSBURG, WV 26847-9403
(304) 257-4233
(304) 257-4610
Mailing address
127 EARLY AVENUE, PETERSBURG, WV 26847-9403
(304) 257-4233
(304) 257-4610
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
102
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004108000
—
WV
01
—
1065000
WORKER'S COMPENSATION
WV
Enumeration date
10/27/2005
Last updated
03/03/2020
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