Organization
ANDALUSIA HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRECE MAYS (NURSING HOME ADMINISTRATOR)
(334) 222-2101
Entity
Organization
Contact information
Practice address
200 HILLCREST DR, ANDALUSIA, AL 36420-2527
(334) 222-2101
(334) 222-5653
Mailing address
PO BOX 1395, ANDALUSIA, AL 36420-1224
(334) 222-2101
(334) 222-5653
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
00383
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4750820S
—
AL
Enumeration date
07/19/2006
Last updated
08/22/2020
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