Community Progress Committee Inc

Organization Active NPI Skilled Nursing Facility · Jane Lew, WV

NPI 1003801341 · NPPES record last updated Oct 18, 2011

Key facts

NPI
1003801341
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
84 (WV)
Legal business name
COMMUNITY PROGRESS COMMITTEE INC
Practice address
199 Court St
Jane Lew, WV 26378-8548
Phone
(304) 884-7811
Fax
(304) 884-7846
NPI assigned
Sep 13, 2005
Organization subpart
No

Authorized official

Name
Mr. Kevin B Pound
Title
Regional Director
Phone
(228) 861-7598

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 84 WV Yes

Addresses

Primary practice location

199 Court St
Jane Lew, WV 26378-8548

Mailing address

199 Court St
Jane Lew, WV 26378-8548
Phone (304) 884-7811

Other identifiers

IdentifierTypeStateIssuer
0003276000MedicaidWV

Other names

  • CRESTVIEW MANOR NURSING & REHABILITATION Doing business as

Other providers in Jane Lew, WV

All providers in Jane Lew, WV · Skilled Nursing Facility in West Virginia

Sources for this page

Verify at the official NPI Registry.