Organization
SOUTHLAND NURSING HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY LYNN SWANSON (ADMINISTRATOR)
(334) 638-6141
Entity
Organization
Contact information
Practice address
500 SHIVERS TER, MARION, AL 36756-3534
(334) 683-6141
(334) 683-6142
Mailing address
500 SHIVERS TER, MARION, AL 36756-3534
(334) 683-6141
(334) 683-6142
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N5302
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-5104-0S
—
AL
Enumeration date
10/26/2006
Last updated
12/08/2016
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