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

South Boston Manor, LLC

Organization Skilled Nursing Facility · NPI 1740277359

South Boston Manor, LLC is a Skilled Nursing Facility in South Boston, Virginia. Licensed in Virginia. Registered with an NPI since 2005.

Licensed in
VA
In the registry since
2005
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

406 Oak Ln
South Boston, VA 24592-1634
Phone: (434) 572-2925
Fax: (434) 572-8258
Show map & directions

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

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence NH2704 (VA)

Record details

NPI number1740277359
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official W. Swain — Treasurer · (843) 902-4582
NPI enumeratedSeptember 29, 2005
Last updated in NPPESNovember 2, 2011
Mailing address406 Oak Ln, South Boston, VA 24592-1634

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