Organization
RIDGEVIEW EXTENDED CARE LLC
Active
Other names
MEADOWBROOK EXTENDED CARE
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISA D WINGET (MANAGER)
(478) 974-0006
Entity
Organization
Contact information
Practice address
700 CORPORATE RDG, BIRMINGHAM, AL 35242-5420
(205) 991-8900
(205) 991-8711
Mailing address
PO BOX 69, BOLINGBROKE, GA 31004-0069
(478) 974-0006
(478) 974-0046
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/09/2010
Last updated
07/03/2014
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