# SALEM HOUSING CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Timberlake Health and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962435149
- **Authorized official:** DOUGLAS K. MITTLEIDER (PRESIDENT OF MGMT CO)
- **Authorized official phone:** (770) 619-0866

## Contact information

- **Practice address:** 315 W GIBSON ST, JASPER, TX 75951-4903
- **Practice address phone:** (409) 384-5768
- **Practice address fax:** (409) 383-1940
- **Mailing address:** 5895 WINDWARD PKWY, SUITE 200, ALPHARETTA, GA 30005-5203
- **Mailing address phone:** (770) 619-0866
- **Mailing address fax:** (770) 870-2892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 116446 | TX | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 05/20/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001013913 | — | TX |