Healthcare Provider Details

I. General information

NPI: 1881489011
Provider Name (Legal Business Name): FRANCIS MARION OPERATING GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2025
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 FRANCIS MARION LN
MARION VA
24354-2629
US

IV. Provider business mailing address

100 FRANCIS MARION LN
MARION VA
24354-2629
US

V. Phone/Fax

Practice location:
  • Phone: 276-782-1396
  • Fax:
Mailing address:
  • Phone: 276-782-1396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ANSHEL NIEDERMAN
Title or Position: MANAGER
Credential:
Phone: 929-900-2005