Organization
SUMMERFORD NURSING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT A. SUMMERFORD II (ADMINISTRATOR)
(256) 784-5275
Entity
Organization
Contact information
Practice address
4087 HIGHWAY 31 SW, FALKVILLE, AL 35622-6319
(256) 784-5275
(256) 784-5852
Mailing address
4087 HIGHWAY 31 SW, FALKVILLE, AL 35622-6319
(256) 784-5275
(256) 784-5852
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
7119
AL
291U00000X
Clinical Medical Laboratory
01D0641594
AL
314000000X
Skilled Nursing Facility
Primary
10634
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4750750S
—
AL
Enumeration date
10/03/2005
Last updated
04/05/2018
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