Organization
FAIRHOPE HEALTH & REHAB, LLC
Active
Other names
FAIRHOPE HEALTH & REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E WINGET SR. (MANAGER)
(478) 994-3669
Entity
Organization
Contact information
Practice address
108 S CHURCH ST, FAIRHOPE, AL 36532-2308
(251) 928-2153
(251) 928-4763
Mailing address
108 S CHURCH ST, FAIRHOPE, AL 36532-2308
(251) 928-2153
(251) 928-4763
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N0201
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-57350S
—
AL
Enumeration date
09/08/2009
Last updated
03/20/2014
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