Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eastside Manor Inc Dba Southern Oaks

Organization Assisted Living Facility · NPI 1205249927

Eastside Manor Inc Dba Southern Oaks is an Assisted Living Facility in Greenville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2014.

Licensed in
SC
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

120 Roper Mountain Road Ext
Greenville, SC 29615-4823
Phone: (864) 288-3271
Fax: (864) 365-0697
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence CRC0611 (SC)

Record details

NPI number1205249927
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gail Boudreau — Executive Director · (864) 288-3271
NPI enumeratedJune 10, 2014
Last updated in NPPESJune 10, 2014
Mailing address120 Roper Mountain Road Ext, Greenville, SC 29615-4823

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