Organization
MORGANTOWN SNF ACQUISITION LLC
Active
Other names
Mapleshire Outpatient Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE A PACK (MANAGER)
(304) 343-1950
Entity
Organization
Contact information
Practice address
30 MON GENERAL DR, MORGANTOWN, WV 26505-2853
(304) 285-2720
(304) 285-2727
Mailing address
7500 MACCORKLE AVE SE, CHARLESTON, WV 25304-2935
(304) 343-1950
(304) 343-1947
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/26/2016
Last updated
01/12/2021
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