OrganizationActive
200 South Ritchie Avenue Operations LLC
NPI 1124202304 · Skilled Nursing Facility · Ravenswood, WV
Provider details
- NPI number
- 1124202304
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Michael Berg, Assistant Secretary
- License
- 122 (WV)
Practice location
200 S Ritchie Ave
Ravenswood, WV 26164-1721
Phone: (304) 273-9385
Fax: (304) 273-9387
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Registry dates
- Enumerated
- 2007-12-24
- Last updated
- 2016-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.