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Organization

DADEVILLE HEALTHCARE CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICKY STEPHENSON (ADMISSIONS BOOKKEEPER)
(256) 825-9244
Entity
Organization

Contact information

Practice address
351 N EAST ST, DADEVILLE, AL 36853-1517
(256) 825-9244
Mailing address
PO BOX 97, DADEVILLE, AL 36853-0097
(256) 825-9244
(256) 825-9964

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12685
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47560005
AL
05
4756000S
AL
Enumeration date
07/02/2006
Last updated
02/01/2022
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  • EDI platform