Organization
AL CITRONELLE LLC
Active
Parent organization
GULF COAST FACILITIES LLC
Other names
Citronelle Health and Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
GULF COAST FACILITIES LLC
Authorized official
JAMES RICHARDSON (PRESIDENT)
(850) 430-0000
Entity
Organization
Contact information
Practice address
19225 N 4TH ST, CITRONELLE, AL 36522-2051
(334) 866-5509
Mailing address
40 PALAFOX PL, STE 400, PENSACOLA, FL 32502-5699
(850) 430-0000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
475441
—
AL
Enumeration date
06/16/2008
Last updated
10/05/2015
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