Organization
MULLENS MANOR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA JEAN LOVEJOY (ADMINISTRATOR)
(304) 294-7587
Entity
Organization
Contact information
Practice address
1238A GUYANDOTTE AVE, MULLENS, WV 25882-1014
(304) 294-7587
(304) 294-7597
Mailing address
PO BOX 1964, PINEVILLE, WV 24874-1964
(304) 294-7587
(304) 294-7597
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
506120
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
506120
ASSISTED LIVING
WV
Enumeration date
01/11/2007
Last updated
08/22/2020
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