| NPI | 1710938998 |
|---|---|
| Doing Business As | SHELBY RIDGE NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | TAMMY MOCK STEPHENSON CFO 334-273-9002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AL 12676) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2012-01-11 |