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Contact Information

MONTGOMERY GENERAL ELDERLY CARE CENTER, INC.
501 ADAMS ST
MONTGOMERY, WV25136-2124
 Phone: 304-442-7479
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for MONTGOMERY GENERAL ELDERLY CARE CENTER, INC.

NPI Number 1053410985
LBN Legal business name MONTGOMERY GENERAL ELDERLY CARE CENTER, INC.
Authorized official URSULA PERRY - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/21/2006
Last updated 02/02/2023 - About 3 years ago
Identifiers
WV License # 106
WV Medicaid 0004199000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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