NPI 1043131790

Fayetteville Snf LLC

Organisation Skilled Nursing Facility Fayetteville, WV

Practice location

Address: 100 Hresan Blvd, Fayetteville, WV 25840-1333
Phone: (304) 574-0770

Authorised official

Name: Robert Cohen
Title: Authorized Official
Phone: (347) 463-2399

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in West Virginia →

Registry record

NPI: 1043131790
Entity type: Organization
NPI issued: 21 Jul 2026
Record last updated: 21 Jul 2026

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.