Organization
WESTSIDE TERRACE, LLC
Active
Other names
WESTSIDE TERRACE HEALTH & REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHONDA RENEE TATE (COMPTROLLER)
(334) 794-1000
Entity
Organization
Contact information
Practice address
501 N WOODBURN DR, DOTHAN, AL 36303-1995
(334) 794-1000
(334) 794-5287
Mailing address
501 N WOODBURN DR, DOTHAN, AL 36303-1995
(334) 794-1000
(334) 794-5287
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10540
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4757960S
—
AL
Enumeration date
11/30/2005
Last updated
03/29/2010
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