# CROWNE HEALTH CARE OF MONTGOMERY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679532238
- **Authorized official:** NOEL DUNNAM (CFO)
- **Authorized official phone:** (251) 743-7137

## Contact information

- **Practice address:** 1837 UPPER WETUMPKA RD, MONTGOMERY, AL 36107-1333
- **Practice address phone:** (334) 264-8416
- **Practice address fax:** (334) 264-1169
- **Mailing address:** 501 WHETSTONE ST, MONROEVILLE, AL 36460-2615
- **Mailing address phone:** (251) 743-3609
- **Mailing address fax:** (251) 575-5618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 12648 | AL | Yes |

## Other

- **Enumeration date:** 03/22/2006
- **Last updated:** 03/06/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4757830S | — | AL |