Organization · Type 2 NPI

1539 Country Club Road Operations LLC

Skilled Nursing Facility · Fairmont, WV

NPI number 1578709341 Active

Practice location

1539 Country Club Rd
Fairmont, WV 26554-1306

Call (304) 366-9100 Map

Mailing address

101 E State St
Kennett Square, PA 19348-3109

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X62 (WV)

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…

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About NPI 1578709341

1539 Country Club Road Operations LLC's National Provider Identifier is 1578709341, issued on Dec 30, 2008. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Fairmont, WV. The record was last updated on Jun 23, 2025.