Eastside Manor Inc. Dba Southern Oaks

LBN: Eastside Manor Inc. Dba Southern Oaks
Eastside Manor Inc. Dba Southern Oaks is an health care organization with primary practice located at 120 Roper Mountain Road Ext , Greenville SC 29615-4823. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Eastside Manor Inc. Dba Southern Oaks can be contacted via phone (864) 288-3271, or through Boudreau, Gail Roberta via phone (864) 288-3271.

Contact Information

Primary practice address
120 Roper Mountain Road Ext Greenville SC 29615-4823
Phone: (864) 288-3271
Fax: (864) 365-0697
Website:
Map and Directions
Authorized official contact:
Name: Boudreau, Gail Roberta
Phone: (864) 288-3271

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X CRC0611 South Carolina

Profile Details

NPI number 1205249927
LBN Legal business name Eastside Manor Inc. Dba Southern Oaks
DBA Doing business as
Authorized official Boudreau, Gail Roberta
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2014
Last updated Jun 10th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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