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1543 Country Club Road Manor Operations Llc
Skilled Nursing Facility in Fairmont, West Virginia
NPI 1396981064

1543 Country Club Road Manor Operations Llc is a Skilled Nursing Facility based in Kennett Square, WV. 1543 Country Club Road Manor Operations Llc practices in Fairmont, WV. The NPI Number for 1543 Country Club Road Manor Operations Llc is 1396981064 and holds a License No. 59 (West Virginia).

The current practice location address for 1543 Country Club Road Manor Operations Llc is 1543 Country Club Rd, Fairmont, WV and can be reached out via phone at 304-363-2273.

Location: 1543 Country Club Rd, Fairmont, WV, 19348-3109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396981064
Provider Name
1543 Country Club Road Manor Operations Llc
Credential
Provider Entity Type
Organization
Address
1543 Country Club Rd, Fairmont, WV, 19348-3109
Phone Number
304-363-2273
Fax Number
Provider Enumeration Date
12/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3810013993 05 WV
institution
Provider Business Practice Location Address Details
Address
1543 Country Club Rd
City
Fairmont
State
West Virginia
Zip
26554-1306
Phone Number
304-363-2273
Fax Number
person
Provider Business Mailing Address Details
Address
1543 Country Club Rd
City
Fairmont
State
West Virginia
Zip
26554-1306
Phone Number
304-363-2273
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
59 (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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