Organization · Type 2 NPI
1543 Country Club Road Manor Operations LLC
Assisted Living Facility · Fairmont, WV
NPI number
1942446745
Active
Practice location
1543 Country Club Rd
Fairmont, WV 26554-1306
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 506062 (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.
32 other providers at this address
- 1543 Country Club Road Manor Operations LLCSkilled Nursing Facility Fairmont, WV NPI 1396981064
- Alignmed Medical Group Wv, PCGeriatric Medicine (Internal Medicine) Physician Fairmont, WV NPI 1003647462
- Pierpont Center at Fairmont Campus Opco, LLCAssisted Living Facility Fairmont, WV NPI 1295648145
- Pierpont Center at Fairmont Campus Opco, LLCSkilled Nursing Facility Fairmont, WV NPI 1578410874
- Wishing Well Manor, Inc.Assisted Living Facility Fairmont, WV NPI 1073501466
- Abbey Danielle Eye, COTA/LOccupational Therapy Assistant Fairmont, WV NPI 1912885690
- Aimee Danielle Lashaway, PTAPhysical Therapy Assistant Fairmont, WV NPI 1841924925
- Alayna Adams, OTOccupational Therapist Fairmont, WV NPI 1588789168
- Austin SaltisPhysical Therapy Assistant Fairmont, WV NPI 1528920220
- Bailey S. Estep, OTR/LOccupational Therapist Fairmont, WV NPI 1649995390
- Betsy Bowman, MS, CCC-SLPSpeech-Language Pathologist Fairmont, WV NPI 1447376835
- Breanna Marie Kalanish, COTA/LOccupational Therapy Assistant Fairmont, WV NPI 1083277222
Other assisted living facility providers in Fairmont
About NPI 1942446745
1543 Country Club Road Manor Operations LLC's National Provider Identifier is 1942446745, issued on Dec 29, 2008. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Fairmont, WV. The record was last updated on Jul 9, 2025.