MEDICARE: DECATUR SNF OPERATIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1184346561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DECATUR SNF OPERATIONS LLC

Provider Business Mailing Address
First Line	:	2326 MORGAN AVE SW
Second Line	:
City	:	DECATUR
State	:	AL
Zip	:	35601-6244
Country	:	US
Telephone Number	:	256-340-5765
Fax Number	:	256-340-1281

Provider Business Practice Location Address
First Line	:	2326 MORGAN AVE SW
Second Line	:
City	:	DECATUR
State	:	AL
Zip	:	35601-6244
Country	:	US
Telephone Number	:	256-340-5765
Fax Number	:	256-340-1281

Authorized Official
Title or Position	:	MANAGER
Name	:	SUSAN STRAUSS
Credential	:
Telephone Number	:	732-995-1700

Provider Enumeration Date	:	09/13/2022
Last Update Date	:	06/13/2024

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Directions to “DECATUR SNF OPERATIONS LLC ” Practice Location

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