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Organization
SOUTHERN ESTATES ASSISTED LIVING
Active
Organization
SOUTHERN ESTATES ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT B DAWSON (OWNER)
(256) 574-4202
Entity
Organization
Contact information
Practice address
212 E STEWART RD, SCOTTSBORO, AL 35769-6406
(256) 574-4202
(256) 574-6916
Mailing address
212 E STEWART RD, SCOTTSBORO, AL 35769-6406
(256) 574-4202
(256) 574-6916
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
D3603
AL
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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