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Organization

BERKELEY SPRINGS CENTER LLC

Active
Other names
Stonerise Berkeley Springs
Organization subpart
No

Provider details

NPI number
Authorized official
LAWRENCE A PACK (MANAGER)
(304) 343-1950
Entity
Organization

Contact information

Practice address
456 AUTUMN ACRES RD, BERKELEY SPRINGS, WV 25411-3202
(304) 258-3673
(304) 258-6618
Mailing address
7500 MACCORKLE AVE SE, CHARLESTON, WV 25304-2935
(304) 343-1950

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
55
WV
314000000X
Skilled Nursing Facility
Primary
55
WV

Other

Enumeration date
03/16/2015
Last updated
01/12/2021
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