Organization
BAL, LLC
Active
Parent organization
LP FACILITY VENTURES, LLC
Other names
Hanover Health and Rehabilitation at Birmingham
Organization subpart
Yes
Provider details
NPI number
Legal business name
LP FACILITY VENTURES, LLC
Authorized official
MR. PAUL M WALCZAK (CEO)
(561) 627-0664
Entity
Organization
Contact information
Practice address
39 HANOVER CIR S, BIRMINGHAM, AL 35205-1703
(205) 933-1828
(205) 933-0900
Mailing address
2979 PGA BLVD, PALM BEACH GARDENS, FL 33410-2911
(561) 627-0664
(561) 627-2867
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N3710
AL
Other
Enumeration date
07/03/2007
Last updated
10/30/2007
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