Organization
COGBURN HEALTH & REHABILITATION-MIDTOWN, INC.
Active
Other names
Cogburn Nursing Center-Midtown
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRENTISS SMITH (CHIEF OPERATING OFFICER)
(251) 476-4700
Entity
Organization
Contact information
Practice address
3104 DAUPHIN SQ CONNECTOR, MOBILE, AL 36607-2513
(251) 450-2800
(251) 476-7124
Mailing address
2651 CAMERON ST STE D, MOBILE, AL 36607-3127
(251) 450-2800
(251) 476-7124
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
016981
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016981
LICENSE NUMBER
AL
Enumeration date
10/25/2005
Last updated
08/26/2009
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