Organization
HERITAGE HEALTH CARE & REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE L JACKSON (ADMINISTRATOR)
(205) 759-5179
Entity
Organization
Contact information
Practice address
1101 SNOWS MILL AVENUE, TUSCALOOSA, AL 35406-2015
(205) 759-5179
(205) 759-5216
Mailing address
1101 SNOWS MILL AVENUE, TUSCALOOSA, AL 35406-2015
(205) 759-5179
(205) 759-5216
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12691
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4754110S
—
AL
Enumeration date
10/04/2006
Last updated
08/22/2020
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