Whalio Doctors

NPI 1639607484

New Riverranch

Organisation Assisted Living Facility (Behavioral Disturbances) Fayetteville, WV

Practice location

Address
PO Box 178, Fayetteville, WV 25840-0178
Phone
(304) 574-1058
Fax
(304) 574-3724

Authorised official

Name
Carla Torres
Title
Director
Phone
(304) 574-1058

Registered specialties

Assisted Living Facility (Behavioral Disturbances) Primary
Nursing & Custodial Care Facilities Taxonomy 3104A0630X Licence 1040-2523 (WV)

Registry record

NPI
1639607484
Entity type
Organization
NPI issued
24 May 2017
Record last updated
24 May 2017

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.