NPI 1346274370
Kaufman Street Wv LLC
Practice location
- Address
- 130 Kaufman Dr, Fairmont, WV 26554-2179
- Phone
- (304) 363-5633
- Mailing address
- 111 W Michigan St, Milwaukee, WI 53203-2903
Authorised official
- Name
- Donna J Maassen
- Title
- Privacy Officer
- Phone
- (414) 908-8119
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1346274370
- Entity type
- Organization
- NPI issued
- 10 Jul 2006
- Record last updated
- 7 Mar 2008
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.