Organization Name: | SHENANDOAH MANOR, INC |
NPI Number: | 1093702979 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA TURNER (NURSING HOME ADMINISTRATOR) |
Mailing Address: | 601 Rocky Hill Rd Ronceverte |
State: | WV US |
Postal Code: | 249709757 |
Phone Number: | 3046457270 |
Fax Number: | |
NPI Enumeration Date: | 10/05/2005 |
NPI Last Update Date: | 06/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3140N1450X |
License Number: | 80 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Skilled Nursing Facility |
Taxonomy Specialization: | Nursing Care, Pediatric |
Taxonomy Definition: | 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. |