Organization · Type 2 NPI

South Haven Manor, Inc.

Adult Care Home Facility · Hertford, NC

NPI number 1811024698 Active

Practice location

114 Nursing Home Rd
Hertford, NC 27944-8879

Fax (434) 848-8302

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XHAL-072-006 (NC)

Adult Care Home Facility: 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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About NPI 1811024698

South Haven Manor, Inc.'s National Provider Identifier is 1811024698, issued on Feb 27, 2007. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Hertford, NC. The record was last updated on Aug 22, 2020.