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Organization
PENDLETON MANOR INC.
Active
Organization
PENDLETON MANOR INC.
Active
Other names
Pendleton Nursing Home, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL KROPP (ADMINISTRATOR)
(304) 358-2322
Entity
Organization
Contact information
Practice address
68 GOOD SAMARITAN DRIVE, FRANKLIN, WV 26807-0700
(304) 358-2322
(304) 358-2334
Mailing address
PO BOX 700, 68 GOOD SAMARIAN DRIVE, FRANKLIN, WV 26807-0700
(304) 358-2322
(304) 358-2334
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
66
WV
332BN1400X
Nursing Facility Supplies (DME)
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003817000
—
WV
Enumeration date
11/21/2005
Last updated
03/15/2022
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