Organization
PROHEALTH LTC-TRUSSVILLE LLC
Active
Other names
Trussville Health & Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ALAN LESTER JD (CEO)
(205) 820-7000
Entity
Organization
Contact information
Practice address
119 WATTERSON PKWY, TRUSSVILLE, AL 35173-2307
(205) 655-3226
(205) 661-2366
Mailing address
717 37TH ST S, BIRMINGHAM, AL 35222-3244
(205) 341-7300
(855) 301-9880
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191841
—
AL
Enumeration date
03/22/2016
Last updated
05/01/2019
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