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Contact Information

GUARDIAN ELDER CARE AT FAIRMONT LLC
130 KAUFMAN DR
FAIRMONT, WV26554-2179
 Phone: 340-363-5633
 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 GUARDIAN ELDER CARE AT FAIRMONT LLC

NPI Number 1861998486
LBN Legal business name GUARDIAN ELDER CARE AT FAIRMONT LLC
Authorized official ARMANDO FORTUNATO - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/03/2018
Last updated 05/18/2023 - About 3 years ago
Identifiers
WV Medicaid 1861998486
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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