Organization
MONTGOMERY CHILDREN'S SPECIALTY CENTER, LLC
Active
Other names
Montgomery Children's Specialty Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH C TUTERA (MANAGER)
(816) 444-0900
Entity
Organization
Contact information
Practice address
2853 FORBES, MONTGOMERY, AL 36110-1307
(334) 262-6421
Mailing address
2853 FORBES, MONTGOMERY, AL 36110-1307
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
123323
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225347495
—
AL
Enumeration date
10/05/2010
Last updated
10/19/2010
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