Organization
MONTGOMERY GENERAL ELDERLY CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
URSULA PERRY NHA (ADMINISTRATOR)
(304) 442-1248
Entity
Organization
Contact information
Practice address
501 ADAMS ST, MONTGOMERY, WV 25136-2124
(304) 442-7479
Mailing address
501 ADAMS ST, MONTGOMERY, WV 25136-2124
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
106
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004199000
—
WV
Enumeration date
09/21/2006
Last updated
02/02/2023
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