Organization
ROANOKE HEALTHCARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EMILEE R FENAES (ADMINISTRATOR)
(334) 863-6151
Entity
Organization
Contact information
Practice address
680 SEYMOUR DR, ROANOKE, AL 36274-1547
(334) 863-6151
(334) 863-4816
Mailing address
1 SOUTHERN WAY, MOBILE, AL 36619-1210
(251) 433-9801
(251) 433-9807
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12666
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
475795OS
—
AL
Enumeration date
06/15/2006
Last updated
11/14/2016
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