Organization
BIRMINGHAM NURSING AND REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORBERT A BENNETT (CO-CHIEF EXECUTIVE OFFICER)
(716) 662-4955
Entity
Organization
Contact information
Practice address
1000 DUGAN AVE, BIRMINGHAM, AL 35214-4326
(205) 798-8780
(205) 798-7685
Mailing address
PO BOX 428, ORCHARD PARK, NY 14127-0428
(716) 662-4955
(716) 667-9230
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N3740
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00389
BC BS OF ALABAMA
AL
05
—
4757290S
—
AL
01
—
71-00017
MEDICARE COMPLETE
AL
Enumeration date
11/16/2006
Last updated
12/11/2023
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