Organization
MV SEVILLE SNF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRENTISS E SMITH III AUTHORIZED OFFICIAL (PRESIDENT)
(251) 583-3972
Entity
Organization
Contact information
Practice address
83 HIGH ST, SEVILLE, OH 44273-9308
(330) 769-2015
(330) 769-1847
Mailing address
408 VALLEY DR, ATTALLA, AL 35954-1025
(251) 583-3972
(330) 595-4344
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
01/27/2021
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