Organization
PERRY CTY HOSPITAL ASSN
Active
Other names
Perry County Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBEKAH G BONDS RN, BSN, LNHA (ADMINISTRATOR)
(334) 683-9696
Entity
Organization
Contact information
Practice address
505 E LAFAYETTE ST, MARION, AL 36756-2323
(334) 683-9696
(334) 683-9995
Mailing address
P.O. BOX 149, MARION, AL 36756-0149
(334) 683-9696
(334) 683-9995
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12661
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009923325
MEDICAID DME
AL
01
—
010555
BLUE CROSS
AL
01
—
0416900001
PGBA
AL
05
—
4753140S
—
AL
Enumeration date
08/31/2006
Last updated
02/15/2010
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