Organization
MARTINSBURG CENTER LLC
Active
Other names
Stonerise Martinsburg, Clary Grove
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE A PACK (MANAGER)
(304) 343-1950
Entity
Organization
Contact information
Practice address
209 CLOVER ST, MARTINSBURG, WV 25404-3803
(304) 263-8921
(304) 263-2548
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
52
WV
314000000X
Skilled Nursing Facility
Primary
52
WV
Other
Enumeration date
07/29/2015
Last updated
12/02/2022
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