Organization
PLEASANT VALLEY NURSING AND REHABILITATION CENTER, INC.
Active
Other names
Pleasant Valley Nurse Care Cen
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG GILLILAND (CHIEF FINANCIAL OFFICER)
(304) 675-4340
Entity
Organization
Contact information
Practice address
640 SANDHILL RD, PT PLEASANT, WV 25550-2163
(304) 675-5236
(304) 675-2805
Mailing address
640 SANDHILL RD, PT PLEASANT, WV 25550-2163
(304) 675-5236
(304) 675-2805
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
06
WV
314000000X
Skilled Nursing Facility
Primary
06
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001300001
—
WV
01
—
000324425
BCBS
WV
01
—
55044008603
WORKERS COMPENSATION
WV
Enumeration date
06/06/2007
Last updated
05/14/2020
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