1543 COUNTRY CLUB ROAD MANOR OPERATIONS LLC

Assisted Living Facility · FAIRMONT, WV

Organization Active NPI 1942446745

Taxonomy & licensure

Specialty	Code	Primary	License	State
Assisted Living Facility	310400000X	✓	506062	WV

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See all Assisted Living Facility providers in West Virginia →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.

1543 COUNTRY CLUB ROAD MANOR OPERATIONS… — NPI 1942446745