is a Skilled Nursing Facility in Montgomery, Alabama. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for is 1114978707. The last update date is .
's current location address is 2020 N Country Club Dr, Montgomery, Alabama. You can contact this provider via phone number 3342631643 and fax number 3342631645. The mailing address for is 2020 N Country Club Dr, Montgomery, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 2020 N Country Club Dr, Montgomery, Alabama |
| Phone Number | 3342631643 |
| Fax Number | 3342631645 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1114978707 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 2020 N Country Club Dr |
|---|---|
| City | Montgomery |
| State | Alabama (AL) |
| Post Code | 361061614 |
| Phone Number | 3342631643 |
| Fax Number | 3342631645 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 12899 |
|
Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7100027 | AL | UNITED HEALTHCARE AL | |
| 475 7690 S | AL | -- | |
| 41366 | AL | HEALTHSPRING AL |
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