Organization
C.R. OF SHADESCREST, LLC
Active
Other names
Shadescrest Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E WINGET SR. (MEMBER)
(478) 994-3669
Entity
Organization
Contact information
Practice address
331 25TH ST W, JASPER, AL 35501-5828
(205) 384-9086
(205) 387-2225
Mailing address
331 25TH ST W, JASPER, AL 35501-5828
(205) 384-9086
(205) 387-2225
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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