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Organization

FOREST MANOR, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SUSAN WILLIAMS NHA (ADMINISTRATOR)
(205) 339-5400
Entity
Organization

Contact information

Practice address
2215 32ND ST, NORTHPORT, AL 35476-5230
(205) 339-5400
(205) 339-3455
Mailing address
2215 32ND ST, NORTHPORT, AL 35476-5230
(205) 339-5400
(205) 339-3455

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10665
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4754720S
AL
Enumeration date
01/17/2006
Last updated
08/22/2020
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