NPI 1407205396 · live from the CMS NPI Registry
Aliceville Manor Nursing Home, INC.
Skilled Nursing Facility in Aliceville, AL. National Provider Identifier 1407205396, active.
NPI record
| NPI | 1407205396 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 703 17th St Nw, Aliceville, AL 35442 |
| Practice phone | 205-373-6307 |
| Mailing address | 111 1st Ave E, Oneonta, AL 35121 |
| Enumerated | June 10, 2016 |
| Last updated | June 10, 2016 |
| Authorized official | Mark Sims, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | N5402 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.