Organization
HEALTHCARE AUTHORITY OF ELBA
Active
Other names
Elba Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELLEN C. BRILEY R.N., LNHA (ADMINISTRATOR)
(334) 897-2257
Entity
Organization
Contact information
Practice address
987 DRAYTON AVE, ELBA, AL 36323-1402
(334) 897-2257
(334) 897-1213
Mailing address
987 DRAYTON AVE, ELBA, AL 36323-1402
(334) 897-2257
(334) 897-1213
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N1601
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04750830E
—
AL
Enumeration date
09/06/2007
Last updated
09/06/2007
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