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South Haven Manor, Inc.
Adult Care Home Facility in Hertford, North Carolina
NPI 1811024698

South Haven Manor, Inc. is an Adult Care Home Facility based in Hertford, NC and is specialized in Adult Care Home. South Haven Manor, Inc. practices in Hertford, NC. The NPI Number for South Haven Manor, Inc. is 1811024698 and holds a License No. HAL-072-006 (North Carolina).

The current practice location address for South Haven Manor, Inc. is 114 Nursing Home Rd, Hertford, NC and can be reached out via phone at 434-848-0294 and via fax at 434-848-8302.

Location: 114 Nursing Home Rd, Hertford, NC, 27944-8879
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811024698
Provider Name
South Haven Manor, Inc.
Credential
Provider Entity Type
Organization
Address
114 Nursing Home Rd, Hertford, NC, 27944-8879
Phone Number
434-848-0294
Fax Number
434-848-8302
Provider Enumeration Date
02/27/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7804235 05 NC
institution
Provider Business Practice Location Address Details
Address
114 Nursing Home Rd
City
Hertford
State
North Carolina
Zip
27944-8879
Phone Number
434-848-0294
Fax Number
434-848-8302
person
Provider Business Mailing Address Details
Address
114 Nursing Home Rd
City
Hertford
State
North Carolina
Zip
27944-8879
Phone Number
434-848-0294
Fax Number
434-848-8302
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
HAL-072-006 (North Carolina)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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