Organization
RUSSELLVILLE HEALTH CARE, LLC
Active
Other names
Russellville Health Care, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA GAIL HOVATER (NURSING HOME ADMINISTRATOR)
(256) 332-3773
Entity
Organization
Contact information
Practice address
705 GANDY ST NE, RUSSELLVILLE, AL 35653-1913
(256) 332-3773
(256) 332-1292
Mailing address
705 GANDY ST NE, RUSSELLVILLE, AL 35653-1913
(256) 332-3773
(256) 332-1292
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12541
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4750710
—
AL
Enumeration date
10/19/2006
Last updated
08/26/2022
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