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Madison Manor Nursing Home Llc
Nursing Facility/Intermediate Care Facility in Madison, Alabama
NPI 1033178504

Madison Manor Nursing Home Llc is a Nursing Facility/Intermediate Care Facility based in Monroeville, AL. Madison Manor Nursing Home Llc practices in Madison, AL. The NPI Number for Madison Manor Nursing Home Llc is 1033178504 and holds a License No. 12609 (Alabama).

The current practice location address for Madison Manor Nursing Home Llc is 3891 Sullivan Street, Madison, AL and can be reached out via phone at 256-772-9243 and via fax at 256-772-9233.

Location: 3891 Sullivan Street, Madison, AL, 36460
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033178504
Provider Name
Madison Manor Nursing Home Llc
Credential
Provider Entity Type
Organization
Address
3891 Sullivan Street, Madison, AL, 36460
Phone Number
256-772-9243
Fax Number
256-772-9233
Provider Enumeration Date
03/22/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4757500S 05 AL
institution
Provider Business Practice Location Address Details
Address
3891 Sullivan Street
City
Madison
State
Alabama
Zip
35758
Phone Number
256-772-9243
Fax Number
256-772-9233
person
Provider Business Mailing Address Details
Address
3891 Sullivan Street
City
Madison
State
Alabama
Zip
35758
Phone Number
256-772-9243
Fax Number
256-772-9233
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
12609 (Alabama)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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