Organization
SALEM NURSING & REHAB CENTER OF REFORM, INC.
Active
Other names
Salem Nursing & Rehab of Reform
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS K MITTLEIDER (PRESIDENT)
(770) 619-0866
Entity
Organization
Contact information
Practice address
512 2ND AVE NW, REFORM, AL 35481-2332
(205) 375-6379
(205) 375-8283
Mailing address
512 2ND AVE NW, REFORM, AL 35481-2332
(205) 375-6379
(205) 375-8283
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12664
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4757680S
—
AL
Enumeration date
07/10/2006
Last updated
06/16/2014
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