Organization
E.A. HAWSE NURSING & REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD JONES (EXECUTIVE VICE PRESIDENT)
(304) 344-1623
Entity
Organization
Contact information
Practice address
ROUTE 259, BAKER, WV 26801-0070
(304) 897-5903
(304) 897-5906
Mailing address
PO BOX 70, BAKER, WV 26801-0070
(304) 897-5903
(304) 897-5906
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
108
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004191000
—
WV
Enumeration date
12/28/2006
Last updated
11/19/2009
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