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Wishing Well Manor, Inc.
Skilled Nursing Facility in Fairmont, West Virginia
NPI 1073501466

Wishing Well Manor, Inc. is a Skilled Nursing Facility based in Fairmont, WV. Wishing Well Manor, Inc. practices in Fairmont, WV. The NPI Number for Wishing Well Manor, Inc. is 1073501466 and holds a License No. 132 (West Virginia).

The current practice location address for Wishing Well Manor, Inc. is 1543 Country Club Rd, Fairmont, WV and can be reached out via phone at 304-366-8414 and via fax at 304-363-2384.

Location: 1543 Country Club Rd, Fairmont, WV, 26554-1306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073501466
Provider Name
Wishing Well Manor, Inc.
Credential
Provider Entity Type
Organization
Address
1543 Country Club Rd, Fairmont, WV, 26554-1306
Phone Number
304-366-8414
Fax Number
304-363-2384
Provider Enumeration Date
10/10/2005
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0003893000 05 WV
institution
Provider Business Practice Location Address Details
Address
1543 Country Club Rd
City
Fairmont
State
West Virginia
Zip
26554-1306
Phone Number
304-366-8414
Fax Number
304-363-2384
person
Provider Business Mailing Address Details
Address
1543 Country Club Rd
City
Fairmont
State
West Virginia
Zip
26554-1306
Phone Number
304-366-8414
Fax Number
304-363-2384
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
59 (West Virginia)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
132 (West Virginia)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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