Provider Demographics
NPI:1477916674
Name:NOLAND MANAGEMENT SERVICES, LLC
Entity type:Organization
Organization Name:NOLAND MANAGEMENT SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EVP/CFO
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:V
Authorized Official - Last Name:RENDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-783-8460
Mailing Address - Street 1:600 CORPORATE PARKWAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5451
Mailing Address - Country:US
Mailing Address - Phone:205-783-8460
Mailing Address - Fax:205-783-8441
Practice Address - Street 1:735 S WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36603-1301
Practice Address - Country:US
Practice Address - Phone:251-433-2642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-04
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALN4901314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility