Organization
COGBURN HEALTH & REHABILITATION-HUNTSVILLE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRENTISS SMITH (CHIEF OPERATING OFFICER)
(251) 476-4700
Entity
Organization
Contact information
Practice address
4010 CHRIS DR SW, HUNTSVILLE, AL 35802-4189
(256) 883-8656
(251) 476-7124
Mailing address
4010 CHRIS DR SW, HUNTSVILLE, AL 35802-4189
(256) 883-8656
(251) 476-7124
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
004924
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004924
LICENSE NUMBER
AL
Enumeration date
10/25/2005
Last updated
05/22/2008
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