1C
1543 COUNTRY CLUB ROAD MANOR OPERATIONS LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
FAIRMONT, WV
Licensed since
2008
Rate
—
Federal identifiers
NPI registry number1396981064
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameMICHAEL BERG
TitleSECRETARY
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