Organization
SHENANDOAH MANOR, INC
Active
Other names
The Brier
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA TURNER (NURSING HOME ADMINISTRATOR)
(304) 645-7270
Entity
Organization
Contact information
Practice address
601 ROCKY HILL RD, RONCEVERTE, WV 24970-9757
(304) 645-7270
Mailing address
601 ROCKY HILL RD, RONCEVERTE, WV 24970-9757
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
80
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004165000
—
WV
Enumeration date
10/05/2005
Last updated
06/19/2008
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