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NPI Code Detail

MEDICARE: MANNA REHABILITATION AND HEALTHCARE CENTER, LLC

MEDICARE: MANNA REHABILITATION AND HEALTHCARE CENTER, 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
1314000000XSkilled Nursing Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437461506
Entity Type Code : Organization
Provider Name (Legal Business Name) : MANNA REHABILITATION AND HEALTHCARE CENTER, LLC
Provider Business Mailing Address
First Line : 716 E CEDAR ROCK ST
Second Line :
City : PICKENS
State : SC
Zip : 29671-2324
Country : US
Telephone Number : 864-878-4739
Fax Number : 864-878-1657
Provider Business Practice Location Address
First Line : 716 E CEDAR ROCK ST
Second Line :
City : PICKENS
State : SC
Zip : 29671-2324
Country : US
Telephone Number : 864-878-4739
Fax Number : 864-878-1657
Authorized Official
Title or Position : VICE PRESIDENT & SECRETARY
Name : MICHELLE D MEER
Credential :
Telephone Number : 629-626-0000
Provider Enumeration Date : 07/06/2010
Last Update Date : 12/29/2017

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