Organization · Type 2 NPI

Madison Manor Nursing Home LLC

Nursing Facility/Intermediate Care Facility · Madison, AL

NPI number 1033178504 Active

Practice location

3891 Sullivan Street
Madison, AL 35758

Fax (256) 772-9233

Mailing address

501 Whetstone Street
Monroeville, AL 36460

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X12609 (AL)

Nursing Facility/Intermediate Care Facility: 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 conditi…

About NPI 1033178504

Madison Manor Nursing Home LLC's National Provider Identifier is 1033178504, issued on Mar 22, 2006. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Madison, AL. The record was last updated on Mar 6, 2024.