Organization
WEST GATE VILLAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOEL DUNNAM (CFO)
(251) 743-7137
Entity
Organization
Contact information
Practice address
100 PINEVIEW ST, BREWTON, AL 36426-1302
(251) 867-6077
(251) 867-5675
Mailing address
501 WHETSTONE ST, MONROEVILLE, AL 36460-2615
(251) 743-3609
(251) 575-5618
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
12532
AL
Other
Enumeration date
03/21/2006
Last updated
03/06/2024
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