Organization · Type 2 NPI
Shenandoah Manor, Inc
Pediatric Skilled Nursing Facility · Ronceverte, WV
NPI number
1093702979
Active
Practice location
601 Rocky Hill Rd
Ronceverte, WV 24970-9757
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Skilled Nursing Facility Primary | 3140N1450X | 80 (WV) |
Pediatric Skilled Nursing Facility: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
About NPI 1093702979
Shenandoah Manor, Inc's National Provider Identifier is 1093702979, issued on Oct 5, 2005. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Ronceverte, WV. The record was last updated on Jun 19, 2008.