The Manor Llc in Ketchikan - Assisted Living Facility

The Manor Llc - NPI 1053443127

The Manor Llc is a Assisted Living Facility in Ketchikan, Alaska. The Manor Llc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for The Manor Llc is 1053443127. The last update date is 2020-08-22.

The Manor Llc's current location address is 250 Heckman St, Ketchikan, Alaska. You can contact this provider via phone number 9072478748 and fax number 9072478747. The mailing address for The Manor Llc is 250 Heckman St, Ketchikan, Alaska. To know further, please read the information below!

Provider Profile Detail

Provider Organization The Manor Llc
Address 250 Heckman St, Ketchikan, Alaska
Phone Number 9072478748
Fax Number 9072478747
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Dalhaug D Delia
Telephone Number 9072478748

NPI Number Detail

NPI Number 1053443127
Provider Enumeration Date 2007-03-12
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 250 Heckman St
City Ketchikan
State Alaska (AK)
Post Code 999015511
Phone Number 9072478748
Fax Number 9072478747

Provider's Primary Taxonomy Detail

Speciality Assisted Living Facility
Taxonomy 310400000X
Definition:
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
RL8080 AK --

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FAQs about The Manor Llc

What is the The Manor Llc's 1053443127?

The The Manor Llc's NPI (National Provider Identifier) Number is 1053443127. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where The Manor Llc is physically located?

The The Manor Llc is physically situated at the following address: 250 Heckman St, Ketchikan, AK, 999015511.

What is The Manor Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for The Manor Llc is Assisted Living Facility, and the taxonomy code that classifies this field of practice is 310400000X.

On what date was the 1053443127 assigned to The Manor Llc?

The The Manor Llc was issued its 1053443127 on 2007-03-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the The Manor Llc's details last updated?

The information pertaining to the The Manor Llc, including its address, specialty, and other details, was most recently updated on 2020-08-22.

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