Organization
FAYETTE COMMUNITY HEALTH CARE
Active
Other names
Hidden Valley Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CALVIN L SUTPHIN II NHA (ADMINISTRATOR)
(304) 465-1903
Entity
Organization
Contact information
Practice address
422 23RD ST, OAK HILL, WV 25901-2830
(304) 465-1903
(304) 949-3807
Mailing address
422 23RD ST, OAK HILL, WV 25901-2830
(304) 465-1903
(304) 949-3807
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
129
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003674000
—
WV
Enumeration date
05/24/2005
Last updated
08/22/2020
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