Organization
WILDER HEALTH CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANICE TYLER ADMINISTRATOR (ADMINISTRATOR)
(256) 825-7881
Entity
Organization
Contact information
Practice address
345 E LAFAYETTE ST, DADEVILLE, AL 36853-1415
(256) 825-7881
(256) 825-7772
Mailing address
345 E LAFAYETTE ST, DADEVILLE, AL 36853-1415
(256) 825-7881
(256) 825-7772
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12687
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4756800S
—
AL
Enumeration date
12/06/2006
Last updated
02/21/2008
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