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

Southern Manor Rest Home, Inc

Organization Assisted Living Facility · NPI 1417087990

Southern Manor Rest Home, Inc is an Assisted Living Facility in Rutherfordton, North Carolina. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2
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

521 Davenport Rd
Rutherfordton, NC 28139
Phone: (909) 894-9185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X
Assisted Living Facility Taxonomy 310400000X

Record details

NPI number1417087990
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Seung Kwan Chai — President/Administrator · (909) 894-9185
NPI enumeratedMarch 6, 2007
Last updated in NPPESDecember 13, 2024
Mailing addressPo Box 73, Collegedale, TN 37315-0073

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