| NPI | 1265536304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOETTE KELLEY-BROWN Owner/Administrator 205-221-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AL 12697) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: AL N6401) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2012-03-28 |