NPI 1033090535
Jackie Withrow Wva Facility Operations LLC
Practice location
- Address
- 105 S Eisenhower Dr, Beckley, WV 25801-4929
- Phone
- (304) 256-6600
Authorised official
- Name
- Paul Pruitt
- Title
- Ceo
- Phone
- (616) 340-2707
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1033090535
- Entity type
- Organization
- NPI issued
- 10 Sep 2025
- Record last updated
- 23 Oct 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.