Organization
PRINCETON CENTER LLC
Active
Other names
Stonerise Princeton
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE A PACK (MANAGER)
(304) 343-1950
Entity
Organization
Contact information
Practice address
1924 GLENWOOD PARK RD, PRINCETON, WV 24739-7969
(304) 425-8128
Mailing address
700 CHAPPELL RD, CHARLESTON, WV 25304-2704
(304) 343-1950
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/12/2014
Last updated
05/18/2022
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