Organization · Type 2 NPI

Jackie Withrow Wva Facility Operations LLC

Nursing Facility/Intermediate Care Facility · Beckley, WV

NPI number 1033090535 Active

Practice location

105 S Eisenhower Dr
Beckley, WV 25801-4929

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000XNone listed

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

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About NPI 1033090535

Jackie Withrow Wva Facility Operations LLC's National Provider Identifier is 1033090535, issued on Sep 10, 2025. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Beckley, WV. The record was last updated on Oct 23, 2025.