NPI | 1114920584 |
---|---|
Doing Business As | MEMORIAL MANOR |
Doing Business As | MEMORIAL MANOR NURSING HOME |
Entity Type | Organization |
Authorized Contact | JON HENNEMYRE Administrator 954-276-6201 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL snf1342096) |
Enumeration Date | 2005-05-31 |
Last Update Date | 2019-01-23 |