Organization
GOOD SHEPHERD NURSING HOME LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD R KIRSCH (ADMINISTRATOR)
(304) 242-1093
Entity
Organization
Contact information
Practice address
159 EDGINGTON LN, WHEELING, WV 26003-1542
(304) 242-1093
(304) 242-1121
Mailing address
159 EDGINGTON LN, WHEELING, WV 26003-1542
(304) 242-1093
(304) 242-1121
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
50
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003564000
—
WV
Enumeration date
10/05/2005
Last updated
08/22/2020
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