01D0301882 CLIA NUMBER - ALICEVILLE MANOR NURSING HOME

Laboratory Demographics

CLIA Number: 01D0301882

Facility Name: ALICEVILLE MANOR NURSING HOME

Facility Address:
703 17TH STREET NW
ALICEVILLE, AL
ZIP 35442
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Facility Phone Number: (205) 373-6307

Facility Type: SKILLED NURSING/NURSING FACILITY

Certificate Type: Waiver

NPI Number: 1407205396

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Field Name	Field Value
CLIA Number	01D0301882
LAB Type	SKILLED NURSING/NURSING FACILITY
Facility Name	ALICEVILLE MANOR NURSING HOME
Street	703 17TH STREET NW
City	ALICEVILLE
State	AL
ZIP	35442
Phone	(205) 373-6307

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Laboratory Demographics

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