NPI 1063906303
Moundsville Center LLC
Practice location
- Address
- 2200 Floral St, Moundsville, WV 26041-1293
- Phone
- (304) 843-1035
- Fax
- (304) 843-1504
- Mailing address
- 700 Chappell Rd, Charleston, WV 25304-2704
Authorised official
- Name
- Lawrence a Pack
- Title
- Member
- Phone
- (304) 343-1950
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1063906303
- Entity type
- Organization
- NPI issued
- 20 Jun 2018
- Record last updated
- 18 May 2022
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.