Organization
MOUND VIEW HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KONSTANTIN DOLGOVSKIJ (ADMINISTRATOR)
(304) 843-1035
Entity
Organization
Contact information
Practice address
2200 FLORAL ST, MOUNDSVILLE, WV 26041-1293
(304) 843-1035
(304) 843-1504
Mailing address
2200 FLORAL ST, MOUNDSVILLE, WV 26041-1293
(304) 843-1504
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
75
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003791000
—
WV
Enumeration date
06/22/2005
Last updated
08/22/2020
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