Organization
SERRA RETIREMENT CENTER INC
Active
Other names
Five Star Case Management
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS SERRA (CEO)
(304) 723-2230
Entity
Organization
Contact information
Practice address
100 SERRA DRIVE, WEIRTON, WV 26062
(304) 723-5369
(304) 723-3849
Mailing address
100 SERRA DRIVE, WEIRTON, WV 26062
(304) 723-5369
(304) 723-3849
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
024038
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4704002000
—
WV
Enumeration date
09/16/2006
Last updated
08/22/2020
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