Organization
EIGHT MILE NURSING AND REHABILITATION CENTER, LLC
Active
Other names
North Mobile Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORBERT A BENNETT (CO-CHIEF EXECUTIVE OFFICER)
(716) 662-4955
Entity
Organization
Contact information
Practice address
4525 SAINT STEPHENS RD, EIGHT MILE, AL 36613-3508
(251) 452-0996
(251) 456-2746
Mailing address
PO BOX 428, ORCHARD PARK, NY 14127-0428
(716) 662-4955
(716) 667-9230
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N4912
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00390
BC BS OF ALABAMA
AL
05
—
4757330S
—
AL
01
—
71-00009
MEDICARE COMPLETE
AL
Enumeration date
11/16/2006
Last updated
12/11/2023
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