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General NPI Number Information
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NPI Number | 1912992090
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Entity Type | Organization
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Legal Business Name | ST. BARBARAS MEMORIAL NURSING HOME INC
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Dates
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Enumeration Date | 09/15/2005
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 31 ST BARBARA'S RD.
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City | FAIRMONT
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State | WV
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Zip | 26554
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Country | US
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Telephone | 304-534-5220
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Fax | 304-534-3373
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Provider Business Mailing Address
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Address Line | PO BOX 9066
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City | MONONGAH
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State | WV
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Zip | 26555-9066
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Country | US
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Telephone | 304-534-5220
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Fax | 304-534-4041
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARCY GAIL FARINACCI
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Credential |
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Telephone | 304-534-5117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 34
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License Number State | WV
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