Organization
PLEASANTS CAREHAVEN OPERATING LLC
Active
Other names
carehaven of pleasants, Stonerise Belmont
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE PACK (OWNER)
(304) 343-1950
Entity
Organization
Contact information
Practice address
506 RIVERVIEW DR, BELMONT, WV 26134-9715
(304) 665-2065
(304) 665-2613
Mailing address
7500 MACCORKLE AVE SE, CHARLESTON, WV 25304-2935
(304) 343-1950
(304) 343-1947
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
130
WV
314000000X
Skilled Nursing Facility
Primary
125
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515191
MEDICARE PROVIDER
—
05
—
51E145
—
WV
Enumeration date
11/29/2005
Last updated
12/02/2022
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