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Organization

CROWNE HEALTH CARE OF FORT PAYNE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NOEL DUNNAM (CFO)
(251) 743-7137
Entity
Organization

Contact information

Practice address
403 13TH ST NW, FORT PAYNE, AL 35967-3145
(256) 845-5990
(256) 845-5992
Mailing address
501 WHETSTONE ST, MONROEVILLE, AL 36460-2615
(251) 743-3609
(251) 575-5618

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
12527
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4757520S
AL
Enumeration date
03/22/2006
Last updated
03/06/2024
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