Organization · Type 2 NPI

Fayetteville SNF LLC

Skilled Nursing Facility · Fayetteville, WV

NPI number 1043131790 Active

Practice location

100 Hresan Blvd
Fayetteville, WV 25840-1333

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

4 other providers at this address

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About NPI 1043131790

Fayetteville SNF LLC's National Provider Identifier is 1043131790, issued on Jul 21, 2026. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Fayetteville, WV. The record was last updated on Jul 21, 2026.