01D0674028 CLIA NUMBER - DIVERSICARE OF OXFORD

Laboratory Demographics

CLIA Number: 01D0674028

Facility Name: DIVERSICARE OF OXFORD

Facility Address:
1130 SOUTH HALE STREET
OXFORD, AL
ZIP 36203
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Facility Phone Number: (256) 831-0481

Facility Type: SKILLED NURSING/NURSING FACILITY

Certificate Type: Waiver

NPI Number: 1306391495

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	01D0674028
LAB Type	SKILLED NURSING/NURSING FACILITY
Facility Name	DIVERSICARE OF OXFORD
Street	1130 SOUTH HALE STREET
City	OXFORD
State	AL
ZIP	36203
Phone	(256) 831-0481

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Laboratory Demographics

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