Organization
NELLA'S NURSING HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHASTA L. HYSON (ADMINISTRATOR)
(304) 636-2033
Entity
Organization
Contact information
Practice address
200 WHITEMAN AVE, CRYSTAL SPRINGS, ELKINS, WV 26241-3400
(304) 636-2033
(304) 637-6206
Mailing address
PO BOX 1399, ELKINS, WV 26241-1399
(304) 636-2033
(304) 637-6206
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
17
WV
Other
Enumeration date
07/11/2005
Last updated
07/13/2007
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