Guardian Elder Care At Fairmont LLC
Skilled Nursing Facility in Fairmont, WV. Organization (NPI-2).
NPI number1861998486
StatusActive
Last updated in NPPESMay 18, 2023
Details
- NPI
- 1861998486
- Entity type
- Organization (NPI-2)
- Legal business name
- Guardian Elder Care At Fairmont LLC
- Organization subpart
- No
- Enumeration date
- Apr 3, 2018
- Certification date
- May 18, 2023
- Last updated
- May 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Fairmont Healthcare And Rehabilitation Center (Doing Business As)
Practice location
130 Kaufman DrFairmont, WV 26554-2179
Phone 340-363-5633
Mailing address
8796 Route 219Brockway, PA 15824-6010
Authorized official
Armando Fortunato
Cfo
8142651164
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