Organization
LIFECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA T GILBREATH (LPN)
(256) 747-3798
Entity
Organization
Contact information
Practice address
560 COUNTY ROAD 825, LOGAN, AL 35098-1425
(256) 747-3798
Mailing address
560 COUNTY ROAD 825, LOGAN, AL 35098-1425
(256) 747-3798
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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