NPI 1245516194

Crestview-Ths, LLC

Organisation Skilled Nursing Facility Jane Lew, WV

Practice location

Address: 199 Court St, Jane Lew, WV 26378-8548
Phone: (304) 884-7811
Fax: (304) 884-7057
Mailing address: 838 Carthage Hwy, Lebanon, TN 37087-4611

Authorised official

Name: Gordon Bone
Title: Vice-President
Phone: (615) 417-8131

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 84 (WV)

Other Skilled Nursing Facility providers in West Virginia →

Registry record

NPI: 1245516194
Entity type: Organization
NPI issued: 24 Oct 2011
Record last updated: 24 Oct 2011

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.