Organization · Type 2 NPI

Wishing Well Manor, Inc.

Assisted Living Facility · Fairmont, WV

NPI number 1073501466 Active

Practice location

1543 Country Club Rd
Fairmont, WV 26554-1306

Fax (304) 363-2384

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X132 (WV)
Skilled Nursing Facility 314000000X59 (WV)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1073501466

Wishing Well Manor, Inc.'s National Provider Identifier is 1073501466, issued on Oct 10, 2005. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Fairmont, WV. The record was last updated on Sep 11, 2025.