Organization
STANLY MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE HERRIN-HUNEYCUTT (ADMINISTRATOR)
(704) 982-0770
Entity
Organization
Contact information
Practice address
625 BETHANY RD, ALBEMARLE, NC 28001-8523
(704) 982-0770
(704) 982-1014
Mailing address
625 BETHANY RD, ALBEMARLE, NC 28001-8523
(704) 982-0770
(704) 982-1014
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0464
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7802196
SPECIAL ASSISTANCE
NC
Enumeration date
02/15/2008
Last updated
02/15/2008
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