Organization
THE HEALTH CARE AUTHORITY OF THE CITY OF ENTERPRISE, INC.
Active
Other names
Enterprise Health & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY M. AVERETT (ADMINISTRATOR)
(334) 347-9541
Entity
Organization
Contact information
Practice address
300 PLAZA DR, ENTERPRISE, AL 36330-3311
(334) 347-9541
(334) 347-5070
Mailing address
300 PLAZA DR, ENTERPRISE, AL 36330-3311
(334) 347-9541
(334) 347-5070
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N1602
AL
332B00000X
Durable Medical Equipment & Medical Supplies
N1602
AL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
N1602
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010605
BLUE CROSS/BLUE SHIELD
AL
01
—
0601900001
DME SUPPLIER
AL
05
—
4753200S
—
AL
Enumeration date
08/30/2006
Last updated
04/17/2023
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