1543 COUNTRY CLUB ROAD MANOR OPERATIONS LLC

Skilled Nursing Facility

Active Organization
NPI: 1396981064

Practice Address

1543 COUNTRY CLUB RD
Fairmont, WV 26554

Phone: (304) 363-2273

Specialties

Specialty Code Primary License
Skilled Nursing Facility 314000000X Yes 59 (WV)

Frequently Asked Questions

NPI 1396981064 is the National Provider Identifier for 1543 COUNTRY CLUB ROAD MANOR OPERATIONS LLC, a Skilled Nursing Facility provider located in Fairmont, WV. This NPI was enumerated on December 30, 2008.

Quick Facts

NPI
1396981064
Type
Organization
Enumerated
Dec 30, 2008
Last Updated
Jul 9, 2025

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