Organization
GUARDIAN ELDER CARE AT FAIRMONT LLC
Active
Other names
Fairmont Healthcare and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
ARMANDO FORTUNATO (CFO)
(814) 265-1164
Entity
Organization
Contact information
Practice address
130 KAUFMAN DR, FAIRMONT, WV 26554-2179
(340) 363-5633
Mailing address
8796 ROUTE 219, BROCKWAY, PA 15824-6010
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861998486
—
WV
Enumeration date
04/03/2018
Last updated
05/18/2023
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