Organization
BRAXTON HEALTH CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RITA JO DRAZDIK (SECRETARY)
(304) 765-2861
Entity
Organization
Contact information
Practice address
859 DAYS DR, SUTTON, WV 26601-6255
(304) 765-2861
(304) 765-2863
Mailing address
859 DAYS DR, SUTTON, WV 26601-6255
(304) 765-2861
(304) 765-2863
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
103
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004097000
—
WV
Enumeration date
09/29/2005
Last updated
10/10/2013
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