NPI 1104242460 PRESTIGE MANOR LLC BELLEVIEW FL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Prestige Manor Llc - NPI: 1104242460

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: PRESTIGE MANOR LLC
NPI Number: 1104242460
Entity Type Code: Organizational (2)
Authorized Official Name: CARROL DILLON-SMITH
(OWNER/ADMINISTRATOR)
Mailing Address: 6040 Se Front Rd
Belleview
State: FL US
Postal Code: 344203326
Phone Number: 3523076333
Fax Number: 3522451748
NPI Enumeration Date: 03/11/2014
NPI Last Update Date: 09/11/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 310400000X
License Number: AL7159
Healthcare Provider Taxonomy:
(Secondary)
Y
State: FL
Taxonomy Type: Nursing & Custodial Care Facilities
Taxonomy Classification: Assisted Living Facility
Taxonomy Specialization:
Taxonomy Definition:
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.


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