Organization
SALEM NURSING AND REHABILITATION OF TUSKEGEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS K MITTLEIDER (PRESIDENT)
(770) 619-0866
Entity
Organization
Contact information
Practice address
502 GAUTIER ST, TUSKEGEE, AL 36083-2600
(334) 727-1945
(334) 727-3438
Mailing address
502 GAUTIER ST, TUSKEGEE, AL 36083-2600
(334) 727-1945
(334) 727-3438
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12605
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4757110S
—
AL
Enumeration date
07/09/2006
Last updated
03/04/2008
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