Organization
ALICE M KIDD NURSING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NEDRA MONCRIEF-CRAIG FACILITY DIRECTOR (FACILITY DIRECTOR)
(205) 759-0633
Entity
Organization
Contact information
Practice address
200 UNIVERSITY BLVD, TUSCALOOSA, AL 35402-0707
(205) 759-0633
(205) 759-0133
Mailing address
PO BOX 20707, 200 UNIVERSITY BLVD, TUSCALOOSA, AL 35402-0707
(205) 759-0633
(205) 759-0133
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47577705
—
AL
Enumeration date
11/09/2006
Last updated
08/22/2020
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