1539 COUNTRY CLUB ROAD OPERATIONS LLC

Skilled Nursing Facility

Active Organization
NPI: 1578709341

Practice Address

1539 COUNTRY CLUB RD
Fairmont, WV 26554

Phone: (304) 366-9100

Specialties

Specialty Code Primary License
Skilled Nursing Facility 314000000X Yes 62 (WV)

Frequently Asked Questions

NPI 1578709341 is the National Provider Identifier for 1539 COUNTRY CLUB ROAD OPERATIONS LLC, a Skilled Nursing Facility provider located in Fairmont, WV. This NPI was enumerated on December 30, 2008.

Quick Facts

NPI
1578709341
Type
Organization
Enumerated
Dec 30, 2008
Last Updated
Jun 23, 2025

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