Andalusia Manor Llc

LBN: Andalusia Manor Llc
Andalusia Manor Llc is an health care organization with primary practice located at 670 Moore Rd , Andalusia AL 36420. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Parenteral & Enteral Nutrition. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Andalusia Manor Llc can be contacted via phone (334) 222-4544, or through Sasser, Sal-Lee Sha-Ree via phone (334) 222-4544.

Contact Information

Primary practice address
670 Moore Rd Andalusia AL 36420
Phone: (334) 222-4544
Fax: (334) 222-4737
Website:
Map and Directions
Authorized official contact:
Name: Sasser, Sal-Lee Sha-Ree
Phone: (334) 222-4544

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X

Profile Details

NPI number 1407937709
LBN Legal business name Andalusia Manor Llc
DBA Doing business as
Authorized official Sasser, Sal-Lee Sha-Ree
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2006
Last updated Feb 11th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407937709 NPPES
Alabama MEDICAID 4757890S

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