Organization · Type 2 NPI
Southern Manor Living Centers, LLC
Assisted Living Facility · Fayetteville, TN
NPI number
1619274644
Active
Practice location
115 Medical Center Blvd
Fayetteville, TN 37334-2689
Fax (931) 433-6908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | ACL0000000215 (TN) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
2 other providers at this address
Other assisted living facility providers in Fayetteville
About NPI 1619274644
Southern Manor Living Centers, LLC's National Provider Identifier is 1619274644, issued on Feb 28, 2011. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Fayetteville, TN. The record was last updated on Feb 28, 2011.