Organization
DEVONSHIRE AL OPERATIONS, LLC
Active
Other names
Bellaire at Devonshire
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER HOLSCLAW (BUSINESS OFFICE MANAGER)
(304) 760-5290
Entity
Organization
Contact information
Practice address
5 BEXLEY DR, SCOTT DEPOT, WV 25560-4504
(304) 760-5290
(681) 235-7155
Mailing address
5 BEXLEY DR, SCOTT DEPOT, WV 25560-4504
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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