Organization
GENESIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA KELLY TARVER (COTA)
(304) 989-7074
Entity
Organization
Contact information
Practice address
925 PARK DR, DUNBAR, WV 25064-2624
(304) 989-7074
Mailing address
925 PARK DR, DUNBAR, WV 25064-2624
(304) 989-7074
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
C1601
WV
Other
Enumeration date
10/28/2012
Last updated
10/28/2012
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