Organization
WETUMPKA HEALTH AND REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP CODY LONG (CFO)
(205) 391-3600
Entity
Organization
Contact information
Practice address
1825 HOLTVILLE RD, WETUMPKA, AL 36092-8211
(334) 567-5131
Mailing address
1825 HOLTVILLE RD, WETUMPKA, AL 36092-8211
(334) 567-5131
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012759
BCBS ID
AL
05
—
4750270S
—
AL
Enumeration date
05/28/2006
Last updated
10/09/2020
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