Organization
HOLBROOK NURSING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY LAINE HITT (ADMINISTRATION)
(304) 472-3280
Entity
Organization
Contact information
Practice address
346 S FLORIDA ST, BUCKHANNON, WV 26201-2452
(304) 472-3280
(304) 472-6805
Mailing address
346 S FLORIDA ST, BUCKHANNON, WV 26201-2452
(304) 472-3280
(304) 472-6805
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
76
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003770000
—
WV
Enumeration date
07/18/2005
Last updated
08/22/2020
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