Organization
GOOD SHEPHERD NURSING HOME LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORGAN MURPHY (REGULATORY COMPLIANCE OFFICER)
(304) 242-1093
Entity
Organization
Contact information
Practice address
159 EDGINGTON LN, WHEELING, WV 26003-1542
(304) 242-1093
Mailing address
159 EDGINGTON LN, WHEELING, WV 26003-1542
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
515038
—
WV
Enumeration date
01/10/2020
Last updated
01/10/2020
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