New Riverranch
Organization Active NPI Assisted Living Facility (Behavioral Disturbances) · Fayetteville, WV
NPI 1639607484 · NPPES record last updated May 24, 2017
Key facts
- NPI
- 1639607484
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances) 3104A0630X
- License
- 1040-2523 (WV)
- Legal business name
- NEW RIVERRANCH
- Practice address
- PO Box 178
Fayetteville, WV 25840-0178 - Phone
- (304) 574-1058
- Fax
- (304) 574-3724
- NPI assigned
- May 24, 2017
- Organization subpart
- No
Authorized official
- Name
- Carla Torres, REVEREND
- Title
- Director
- Phone
- (304) 574-1058
Corporate family (same tax ID) 1
Practitioners 1
National Provider Directory
- Tax ID family
- New River Ranch Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | 1040-2523 | WV | Yes |
Addresses
Primary practice location
PO Box 178
Fayetteville, WV 25840-0178
Mailing address
PO Box 178
Fayetteville, WV 25840-0178
Phone (304) 574-1058
Other providers in Fayetteville, WV
- Elizabeth Anne Nestor
- New River Health Association, Inc.
- New River Health Association, Inc.
- New River Health Association, Inc.
- New River Ranch Inc
- Ryan D Newell
- Debra W Nichol
- Allie Chinyere Nwosu
- James William Odell
- Heather Rayan Pack
All providers in Fayetteville, WV · Assisted Living Facility (Behavioral Disturbances) in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.