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Organization
GUARDIAN ELDER CARE AT FAIRMONT LLC
Active
Organization
GUARDIAN ELDER CARE AT FAIRMONT LLC
Active
Other names
Fairmont Healthcare and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
ARMANDO FORTUNATO (CFO)
(814) 265-1164
Entity
Organization
Contact information
Practice address
130 KAUFMAN DR, FAIRMONT, WV 26554-2179
(340) 363-5633
Mailing address
8796 ROUTE 219, BROCKWAY, PA 15824-6010
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861998486
—
WV
Enumeration date
04/03/2018
Last updated
05/18/2023
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