Organization
MOBILE NURSING AND REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORBERT A BENNETT (CO-CEO)
(716) 662-4955
Entity
Organization
Contact information
Practice address
7020 BRUNS DR, MOBILE, AL 36695-4329
(251) 639-1588
(251) 639-8278
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
12643
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00384
BC/BS OF ALABAMA
AL
05
—
4757550S
—
AL
01
—
7100010
UHC MEDICARE COMPLETE
AL
Enumeration date
08/29/2006
Last updated
12/08/2023
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