# MOUND VIEW HEALTH CARE, INC.

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

## Provider details

- **NPI number:** 1902802259
- **Authorized official:** MR. KONSTANTIN DOLGOVSKIJ (ADMINISTRATOR)
- **Authorized official phone:** (304) 843-1035

## Contact information

- **Practice address:** 2200 FLORAL ST, MOUNDSVILLE, WV 26041-1293
- **Practice address phone:** (304) 843-1035
- **Practice address fax:** (304) 843-1504
- **Mailing address:** 2200 FLORAL ST, MOUNDSVILLE, WV 26041-1293
- **Mailing address fax:** (304) 843-1504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 75 | WV | Yes |

## Other

- **Enumeration date:** 06/22/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0003791000 | — | WV |