Organization
CORTLAND ACRES ASSOCIATION, INC.
Active
Parent organization
CORTLAND ACRES ASSOCIATION, INC.
Other names
Cortland Rehab
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORTLAND ACRES ASSOCIATION, INC.
Authorized official
MR. DONALD CHARLES BLACK (ADMINISTRATOR)
(304) 463-4181
Entity
Organization
Contact information
Practice address
HC 60 BOX 98, THOMAS, WV 26292-9704
(304) 463-4181
(304) 463-4190
Mailing address
HC 60 BOX 98, THOMAS, WV 26292-9704
(304) 463-4181
(304) 463-4190
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
74
WV
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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