Organization
C.R. OF COOSA VALLEY, LLC
Active
Other names
Coosa Valley Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E WINGET SR. (MANAGER)
(478) 994-3669
Entity
Organization
Contact information
Practice address
513 PINEVIEW AVE, GLENCOE, AL 35905-1803
(256) 492-5350
(256) 492-5352
Mailing address
513 PINEVIEW AVE, GLENCOE, AL 35905-1803
(256) 492-5350
(256) 492-5352
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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