Organization
ROBERTSDALE NURSING HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY KAY POLYS (ADMINISTRATOR)
(251) 947-1911
Entity
Organization
Contact information
Practice address
18700 US HIGHWAY 90, ROBERTSDALE, AL 36567-3271
(251) 947-1911
(251) 947-1937
Mailing address
1 SOUTHERN WAY, MOBILE, AL 36619-1210
(251) 433-9801
(251) 433-9807
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12479
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
475807OS
—
AL
Enumeration date
06/03/2006
Last updated
03/31/2016
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