Organization
COGBURN HEALTH & REHABILITATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRENTISS SMITH (CHIEF OPERATING OFFICER)
(251) 476-4700
Entity
Organization
Contact information
Practice address
148 TUSCALOOSA ST, MOBILE, AL 36607-3408
(251) 471-5431
(251) 476-7124
Mailing address
148 TUSCALOOSA ST, MOBILE, AL 36607-3408
(251) 471-5431
(251) 476-7124
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
103749
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103749
LICENSE NUMBER
AL
Enumeration date
10/25/2005
Last updated
04/13/2009
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