Organization
EDGEWOOD SUMMIT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE GOUHIN (EXECUTIVE DIRECTOR)
(304) 346-2323
Entity
Organization
Contact information
Practice address
300 BAKER LN, CHARLESTON, WV 25302-2900
(304) 346-2323
(304) 346-2352
Mailing address
300 BAKER LN, CHARLESTON, WV 25302-2900
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/13/2013
Last updated
02/13/2014
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