Organization
ASPIRE PHYSICAL RECOVERY CENTER OF WEST ALABAMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP CODY LONG (VICE PRESIDENT/CFO)
(205) 391-3600
Entity
Organization
Contact information
Practice address
2400 HOSPITAL DR, NORTHPORT, AL 35476-3360
(205) 330-8412
Mailing address
2400 HOSPITAL DR, NORTHPORT, AL 35476-3360
(205) 330-8412
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
224551
—
AL
Enumeration date
12/29/2015
Last updated
10/28/2020
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