NPI 1265049175

Devonshire Al Operations, LLC

Organisation Assisted Living Facility Scott Depot, WV

Practice location

Address: 5 Bexley Dr, Scott Depot, WV 25560-4504
Phone: (304) 760-5290
Fax: (681) 235-7155

Authorised official

Name: Tyler Holsclaw
Title: Business Office Manager
Phone: (304) 760-5290

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in West Virginia →

Registry record

NPI: 1265049175
Entity type: Organization
NPI issued: 24 Sep 2020
Record last updated: 24 Sep 2020

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.