Organization
SYLACAUGA HEALTH CARE AUTHORITY
Active
Other names
Coosa Valley Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VANESSA GREEN (VP SENIOR SERVICES AND CONTINUUM MG)
(256) 249-5690
Entity
Organization
Contact information
Practice address
315 W HICKORY ST, SYLACAUGA, AL 35150-2913
(256) 249-5690
Mailing address
315 W HICKORY ST, SYLACAUGA, AL 35150-2913
(256) 249-5690
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12679
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4750100S
—
AL
Enumeration date
10/06/2006
Last updated
04/29/2008
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