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Contact Information

GRANT REHAB & CARE CENTER
127 EARLY AVENUE
PETERSBURG, WV26847-9403
 Phone: 304-257-4233
 Fax: 304-257-4610
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for GRANT REHAB & CARE CENTER

NPI # 1740270982
LBN Legal business name GRANT REHAB & CARE CENTER
Authorized official TERESA HALLIDAY - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/27/2005
Last updated 03/03/2020 - About 6 years ago
Identifiers
WV License # 102
WV Medicaid 0004108000
WV Other 1065000 WORKER'S COMPENSATION
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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