SOUTHLAND HOMES, INC
Assisted Living Facility
Lexington, North Carolina
Provider NPI: 1942309570
Organization Information:Organization Name: SOUTHLAND HOMES, INC
Practice Location:
716 W 5TH AVE LEXINGTON, NC 27292 US
Tel: 336-248-6489 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
716 W 5TH AVE LEXINGTON, NC 27292 US
Tel: 336-248-6489 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | NC | FCL-029-001 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
7801241 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin