Wishing Well Manor, Inc. in Fairmont - Skilled Nursing Facility
Wishing Well Manor, Inc. - NPI 1073501466
Wishing Well Manor, Inc. is a Skilled Nursing Facility in Fairmont, . Wishing Well Manor, Inc. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Wishing Well Manor, Inc. is 1073501466. The last update date is 2020-08-22.
Wishing Well Manor, Inc.'s current location address is 1543 Country Club Rd, Fairmont, . You can contact this provider via phone number 3043668414 and fax number 3043632384. The mailing address for Wishing Well Manor, Inc. is 1543 Country Club Rd, Fairmont, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wishing Well Manor, Inc. |
|---|---|
| Address | 1543 Country Club Rd, Fairmont, |
| Phone Number | 3043668414 |
| Fax Number | 3043632384 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CONTROLLER |
|---|---|
| Authorized Official Name | Moore S. Carlene |
| Credentials | NHA |
| Telephone Number | 3043668414 |
NPI Number Detail
| NPI Number | 1073501466 |
|---|---|
| Provider Enumeration Date | 2005-10-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1543 Country Club Rd |
|---|---|
| City | Fairmont |
| State | (WV) |
| Post Code | 265541306 |
| Phone Number | 3043668414 |
| Fax Number | 3043632384 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 59 |
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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 serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3893000 | WV | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Wishing Well Manor, Inc. by the Centers for Medicare & Medicaid Services?
The Wishing Well Manor, Inc. has been issued the NPI (National Provider Identifier) 1073501466, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Wishing Well Manor, Inc.'s physical address?
The Wishing Well Manor, Inc. is physically located at 1543 Country Club Rd, in the city of Fairmont, WV, with the postal code 265541306.
What is Wishing Well Manor, Inc.'s area of expertise and its corresponding taxonomy classification?
The Wishing Well Manor, Inc.'s field of specialization is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their areas of practice.
When did Wishing Well Manor, Inc. receive its 1073501466 assignment?
The Wishing Well Manor, Inc. was assigned its 1073501466 on 2005-10-10, which is the date when this unique identifier was issued to the organization.
When was the information related to Wishing Well Manor, Inc. most recently updated or refreshed?
The details pertaining to the Wishing Well Manor, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.