South Boston Manor, Llc

LBN: South Boston Manor, Llc
South Boston Manor, Llc is an health care organization with primary practice located at 406 Oak Ln , South Boston VA 24592-1634. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. South Boston Manor, Llc can be contacted via phone (434) 572-2925, or through Swain, W. Stewart via phone (843) 902-4582.

Contact Information

Primary practice address
406 Oak Ln South Boston VA 24592-1634
Phone: (434) 572-2925
Fax: (434) 572-8258
Website:
Map and Directions
Authorized official contact:
Name: Swain, W. Stewart
Phone: (843) 902-4582

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH2704 Virginia

Profile Details

NPI number 1740277359
LBN Legal business name South Boston Manor, Llc
DBA Doing business as
Authorized official Swain, W. Stewart
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2005
Last updated Nov 2nd, 2011 - about 13 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 1740277359 NPPES
Virginia MEDICAID 010053650

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