1543 COUNTRY CLUB ROAD MANOR OPERATIONS LLC

Assisted Living Facility

Active Organization
NPI: 1942446745

Practice Address

1543 COUNTRY CLUB RD
Fairmont, WV 26554

Phone: (304) 363-2273

Specialties

Specialty Code Primary License
Assisted Living Facility 310400000X Yes 506062 (WV)

Frequently Asked Questions

NPI 1942446745 is the National Provider Identifier for 1543 COUNTRY CLUB ROAD MANOR OPERATIONS LLC, a Assisted Living Facility provider located in Fairmont, WV. This NPI was enumerated on December 29, 2008.

Quick Facts

NPI
1942446745
Type
Organization
Enumerated
Dec 29, 2008
Last Updated
Jul 9, 2025

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