Organization
PRATTVILLE HEALTH AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP CODY LONG (CFO)
(205) 391-3600
Entity
Organization
Contact information
Practice address
601 JASMINE TRL, PRATTVILLE, AL 36066-3661
(334) 365-2241
Mailing address
601 JASMINE TRL, PRATTVILLE, AL 36066-3661
(334) 365-2241
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012443
BCBS ID
AL
05
—
4757610S
—
AL
Enumeration date
05/28/2006
Last updated
10/28/2020
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