Organization
MOUNDSVILLE CENTER LLC
Active
Other names
Stonerise Moundsville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE A PACK (MEMBER)
(304) 343-1950
Entity
Organization
Contact information
Practice address
2200 FLORAL ST, MOUNDSVILLE, WV 26041-1293
(304) 843-1035
(304) 843-1504
Mailing address
700 CHAPPELL RD, CHARLESTON, WV 25304-2704
(304) 343-1950
(304) 343-1947
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/20/2018
Last updated
05/18/2022
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