Clarksburg Center LLC
Skilled Nursing Facility in Clarksburg, WV. Organization (NPI-2).
NPI number1386023398
StatusActive
Last updated in NPPESMay 18, 2022
Details
- NPI
- 1386023398
- Entity type
- Organization (NPI-2)
- Legal business name
- Clarksburg Center LLC
- Organization subpart
- No
- Enumeration date
- May 22, 2015
- Certification date
- May 18, 2022
- Last updated
- May 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 79 | WV | Yes |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 79 | WV |
Other names
- Stonerise Clarksburg (Doing Business As)
Practice location
100 Parkway DrClarksburg, WV 26301-4357
Phone 304-624-6401 · Fax 304-624-8026
Mailing address
700 Chappell RdCharleston, WV 25304-2704
Phone 304-343-1950 · Fax 304-343-1947
Authorized official
Steven F White
Manager
3043431950
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