Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
1543 COUNTRY CLUB ROAD MANOR OPERATIONS LLC
Active Organization1543 COUNTRY CLUB ROAD MANOR OPERATIONS LLC is a Assisted Living Facility organization located in FAIRMONT, West Virginia. NPI 1942446745 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · FAIRMONT, WV
Registration Details
- NPI Number
- 1942446745
- Provider Type
- Organization
- NPI Issued
- Dec 29, 2008 (17.436158203366 yrs)
- Last Updated
- Jul 9, 2025
- License
-
506062 (WV)
Practice Information
- Address
-
1543 COUNTRY CLUB RDFAIRMONT, WV, 265541306Browse WV providers · Browse ZIP 26554
- Phone
- 3043632273
- Primary Specialty
-
Assisted Living Facility
310400000X
Other Assisted Living Facility Organizations in FAIRMONT, WV
| Name | NPI |
|---|---|
| WISHING WELL MANOR, INC. | 1073501466 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.