Organization
SHELBY RIDGE ACQUISITION CORPORATION
Active
Other names
SHELBY RIDGE NURSING HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY MOCK STEPHENSON (CFO)
(334) 273-9002
Entity
Organization
Contact information
Practice address
881 3RD ST NE, ALABASTER, AL 35007-8954
(205) 620-8500
(205) 620-8553
Mailing address
881 3RD ST NE, ALABASTER, AL 35007-8954
(205) 620-8500
(205) 620-8553
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12676
AL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009936913
—
AL
05
—
47-58040S
—
AL
Enumeration date
05/13/2006
Last updated
01/11/2012
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