Organization
MONROE MANOR NURSING HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZED D PERRIGIN (ADMINISTRATOR)
(251) 575-2648
Entity
Organization
Contact information
Practice address
236 W CLAIBORNE ST, MONROEVILLE, AL 36460-1704
(251) 575-2648
(251) 575-2647
Mailing address
1 SOUTHERN WAY, MOBILE, AL 36619-1210
(251) 433-9801
(251) 433-9807
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12646
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4757130S
—
AL
Enumeration date
07/10/2006
Last updated
03/31/2016
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