Organization
COOSA VALLEY HEALTHCARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS GILLILAND (REGIONAL FINANCIAL CONSULTANT)
(256) 825-9274
Entity
Organization
Contact information
Practice address
315 W HICKORY ST, SYLACAUGA, AL 35150-2913
(256) 401-4324
(256) 401-4696
Mailing address
314 W COLUMBUS ST, DADEVILLE, AL 36853-1337
(256) 825-9274
(256) 825-9276
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
18101
AL
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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