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Organization
WVDHHR JOHN MANCHIN SR. HEALTH CARE CENTER
Active
Organization
WVDHHR JOHN MANCHIN SR. HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL DIANA MERRILL NHA CEO (ADMINISTRATOR)
(304) 363-2500
Entity
Organization
Contact information
Practice address
401 GUFFEY STREET, FAIRMONT, WV 26554-6554
(304) 363-2500
(304) 363-0263
Mailing address
401 GUFFEY STREET, FAIRMONT, WV 26554-6554
(304) 363-2500
(304) 363-0263
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004092000
—
WV
Enumeration date
11/06/2014
Last updated
11/06/2014
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