Organization
KAUFMAN STREET WV LLC
Active
Other names
Arbors at Fairmont
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA J MAASSEN (PRIVACY OFFICER)
(414) 908-8119
Entity
Organization
Contact information
Practice address
130 KAUFMAN DR, FAIRMONT, WV 26554-2179
(304) 363-5633
Mailing address
111 W MICHIGAN ST, MILWAUKEE, WI 53203-2903
(414) 908-8119
(414) 908-7105
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004212000
—
WV
Enumeration date
07/10/2006
Last updated
03/07/2008
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