Organization
METHODIST HOME FOR THE AGING
Active
Parent organization
METHODIST HOME FOR THE AGING
Other names
Fair Haven
Organization subpart
Yes
Provider details
NPI number
Legal business name
METHODIST HOME FOR THE AGING
Authorized official
REGINA T LAWLER (VICE PRESIDENT)
(205) 951-2442
Entity
Organization
Contact information
Practice address
1424 MONTCLAIR RD, BIRMINGHAM, AL 35210-2208
(205) 956-4150
Mailing address
1520 COOPER HILL RD, BIRMINGHAM, AL 35210-2303
(205) 951-2442
(205) 956-5001
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12562
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4750760S
—
AL
Enumeration date
08/30/2006
Last updated
10/07/2016
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