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Organization
SOUTHERN MANOR REST HOME, INC.
Active
Organization
SOUTHERN MANOR REST HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEUNG KWAN CHAI (PRESIDENT/ADMINISTRATOR)
(909) 894-9185
Entity
Organization
Contact information
Practice address
521 DAVENPORT RD, RUTHERFORDTON, NC 28139
(909) 894-9185
Mailing address
PO BOX 73, COLLEGEDALE, TN 37315-0073
(909) 894-9185
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
NULL
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
03/06/2007
Last updated
12/13/2024
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