MRS. MS,CCC/SLP Kristie Lynn Komorowski, NPI 1891034112
Nursing Facility/Intermediate Care Facility in Bridgeport, WV, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1891034112
NPI Entity Type Individual
Provider Name MRS. MS,CCC/SLP Kristie Lynn Komorowski
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 415 Benedum Dr, Bridgeport, WV, US
Provider Mailing Address 415 Benedum Dr, Bridgeport, WV, US, 263301503
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

313M00000X

Taxonomy Name Nursing Facility/Intermediate Care Facility
Classification

Nursing Facility/Intermediate Care Facility

Group

Nursing & Custodial Care Facilities

License No. SLP-0942
License State WV
Description An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

Business Address

MRS. MS,CCC/SLP Kristie Lynn Komorowski
415 Benedum Dr

Bridgeport, WV, US

Phone: 304-842-9887
Fax: 304-842-9888

Mailing Address

MRS. MS,CCC/SLP Kristie Lynn Komorowski
415 Benedum Dr
Bridgeport, WV, US
ZIP 263301503
Phone: 304-842-9887
Fax: 304-842-9888

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Mary Mccullough

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Personal Care Attendant

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