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Organization

DELTA HEALTH GROUP INC

Active
Other names
Willow Trace Nursing Center
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT J BELL (CEO PRESIDENT)
(850) 430-0000
Entity
Organization

Contact information

Practice address
1406 E PUSHMATAHA ST, BUTLER, AL 36904-2728
(205) 459-5506
(205) 459-5503
Mailing address
2 N PALAFOX ST, PENSACOLA, FL 32502-5631
(850) 430-0000
(850) 436-6766

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10483
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47-51060S
AL
Enumeration date
08/17/2005
Last updated
08/06/2009
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