Wishing Well Manor, Inc
Wishing Well Manor, Inc is an Assisted Living Facility in Fairmont, West Virginia. Licensed in West Virginia. Registered with an NPI since 2005.
- Licensed in
- WV
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1543 Country Club RdFairmont, WV 26554-1306
Phone: (304) 366-8414
Fax: (304) 363-2384
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X · Licence 132 (WV) |
|---|---|
| Skilled Nursing Facility | Taxonomy 314000000X · Licence 59 (WV) |
Record details
| NPI number | 1073501466 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carlene Moore — Controller · (304) 366-8414 |
| Other names | Wishing Well Manor |
| NPI enumerated | October 10, 2005 |
| Last updated in NPPES | September 11, 2025 |
| Mailing address | 1543 Country Club Rd, Fairmont, WV 26554-1306 |
Other providers in Fairmont
-
1543 Country Club Road Manor Operations LLC
1543 Country Club Rd, Fairmont, WV 26554-1306 · (304) 363-2273