Organization
GENERATIONS OF RED BAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ERIC MELTON (MEMBER/CFO)
(205) 545-8444
Entity
Organization
Contact information
Practice address
106 10TH AVE NW, RED BAY, AL 35582-3800
(256) 356-4982
(256) 356-8400
Mailing address
106 10TH AVE NW, RED BAY, AL 35582-3800
(256) 356-4982
(256) 356-8400
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10989
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10989
STATE LICENSE NUMBER
AL
05
—
4754080S
—
AL
Enumeration date
10/03/2005
Last updated
08/05/2010
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