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Mrs. Kristie Lynn Komorowski, MS,CCC/SLP
Nursing Facility/Intermediate Care Facility in Bridgeport, West Virginia
NPI 1891034112

Kristie Lynn Komorowski is a Nursing Facility/Intermediate Care Facility based in Bridgeport, WV. Kristie Lynn Komorowski practices in Bridgeport, WV and has the professional credentials of MS,CCC/SLP. The NPI Number for Kristie Lynn Komorowski is 1891034112 and holds a License No. SLP-0942 (West Virginia).

The current practice location address for Kristie Lynn Komorowski is 415 Benedum Dr, Bridgeport, WV and can be reached out via phone at 304-842-9887 and via fax at 304-842-9888.

Location: 415 Benedum Dr, Bridgeport, WV, 26330-1503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891034112
Provider Name
Kristie Lynn Komorowski
Credential
MS,CCC/SLP
Provider Entity Type
Individual
Gender
Female
Address
415 Benedum Dr, Bridgeport, WV, 26330-1503
Phone Number
304-842-9887
Fax Number
304-842-9888
Provider Enumeration Date
02/06/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
415 Benedum Dr
City
Bridgeport
State
West Virginia
Zip
26330-1503
Phone Number
304-842-9887
Fax Number
304-842-9888
person
Provider Business Mailing Address Details
Address
415 Benedum Dr
City
Bridgeport
State
West Virginia
Zip
26330-1503
Phone Number
304-842-9887
Fax Number
304-842-9888
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
SLP-0942 (West Virginia)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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