NPI 1407937709 · live from the CMS NPI Registry
Andalusia Manor LLC
Skilled Nursing Facility in Andalusia, AL. National Provider Identifier 1407937709, active.
NPI record
| NPI | 1407937709 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 670 Moore Rd, Andalusia, AL 36420 |
| Practice phone | 334-222-4544 |
| Enumerated | October 17, 2006 |
| Last updated | February 11, 2010 |
| Authorized official | Sal-Lee Sasser, Vice-President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | 332BP3500X | — |
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.