South Boston Manor, Llc in South Boston - Skilled Nursing Facility
South Boston Manor, Llc - NPI 1740277359
South Boston Manor, Llc is a Skilled Nursing Facility in South Boston, Virginia. South Boston Manor, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for South Boston Manor, Llc is 1740277359. The last update date is 2011-11-02.
South Boston Manor, Llc's current location address is 406 Oak Ln, South Boston, Virginia. You can contact this provider via phone number 4345722925 and fax number 4345728258. The mailing address for South Boston Manor, Llc is 406 Oak Ln, South Boston, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Boston Manor, Llc |
|---|---|
| Address | 406 Oak Ln, South Boston, Virginia |
| Phone Number | 4345722925 |
| Fax Number | 4345728258 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | TREASURER |
|---|---|
| Authorized Official Name | Swain Stewart W. |
| Telephone Number | 8439024582 |
NPI Number Detail
| NPI Number | 1740277359 |
|---|---|
| Provider Enumeration Date | 2005-09-29 |
| Last Updated Date | 2011-11-02 |
Provider Mailing Address Detail
| Address | 406 Oak Ln |
|---|---|
| City | South Boston |
| State | Virginia (VA) |
| Post Code | 245921634 |
| Phone Number | 4345722925 |
| Fax Number | 4345728258 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | NH2704 |
|
Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10053650 | VA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to South Boston Manor, Llc?
The South Boston Manor, Llc has been issued the NPI (National Provider Identifier) 1740277359 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where South Boston Manor, Llc is located?
The South Boston Manor, Llc is situated at the following address: 406 Oak Ln, South Boston, VA, 245921634.
What is South Boston Manor, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The South Boston Manor, Llc's specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1740277359 to South Boston Manor, Llc?
The Centers for Medicare & Medicaid Services assigned the 1740277359 to South Boston Manor, Llc on 2005-09-29.
As of what date was the information pertaining to South Boston Manor, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to South Boston Manor, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-11-02.