Minerva Manor LLC
NPI #1023727500 in Warsaw, North Carolina
Provider Information
- NPI Number
- 1023727500
- Entity Type
- Organization
- Organization Name
- Minerva Manor LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Nov 23, 2022
- Last Updated
- Nov 23, 2022
Practice Location
- Address
- 605 FORREST RD
- City
- Warsaw
- State
- North Carolina
- ZIP Code
- 28398-2209
- Phone
- (516) 851-5471
Authorized Official
- Name
- HOLLYANN SUE
- Title
- MANAGING MEMBER
- Phone
- (347) 258-0686
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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