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Contact Information

MENORAH MANOR INC
255 59TH ST N
SAINT PETERSBURG, FL33710
 Phone: 727-345-2775
 Fax: 727-344-8593
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for MENORAH MANOR INC

NPI Number 1548217060
LBN Legal business name MENORAH MANOR INC
Authorized official DONNA PERRYMAN - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/29/2006
Last updated 06/27/2018 - About 8 years ago
Identifiers
FL License # 4037350001
FL License # SNF1344096
FL Medicaid 020844200
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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