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Organization
CROWNE HEALTH CARE OF FORT PAYNE, LLC
Active
Organization
CROWNE HEALTH CARE OF FORT PAYNE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOEL DUNNAM (CFO)
(251) 743-7137
Entity
Organization
Contact information
Practice address
403 13TH ST NW, FORT PAYNE, AL 35967-3145
(256) 845-5990
(256) 845-5992
Mailing address
501 WHETSTONE ST, MONROEVILLE, AL 36460-2615
(251) 743-3609
(251) 575-5618
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
12527
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4757520S
—
AL
Enumeration date
03/22/2006
Last updated
03/06/2024
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