Organization
MANOR CARE HEALTH SERVICES INC.
Active
Organization
MANOR CARE HEALTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP RANDAL WADE (PRES.)
(256) 332-1810
Entity
Organization
Contact information
Practice address
390 UNDERWOOD RD, RUSSELLVILLE, AL 35653-4105
(256) 332-1810
(256) 332-3874
Mailing address
390 UNDERWOOD RD, RUSSELLVILLE, AL 35653-4105
(256) 332-1810
(256) 332-3874
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
EXEMPT
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0667040001
DME MAC
AL
Enumeration date
10/06/2006
Last updated
02/07/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up