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Organization

COLLINSVILLE NURSING HOME, INC

Active
Other names
COLLINSVILLE HEALTHCARE & REHAB
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES RANDALL COKER JR. (ADMINISTRATOR)
(256) 524-2117
Entity
Organization

Contact information

Practice address
685 NORTH VALLEY AVE, COLLINSVILLE, AL 35961
(256) 524-2117
(256) 524-2035
Mailing address
PO BOX 310, COLLINSVILLE, AL 35961-0310
(256) 524-2117
(256) 524-2035

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12525
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4754120S
AL
Enumeration date
05/19/2006
Last updated
02/08/2013
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