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Organization

PARK PLACE NURSING AND REHABILITATION CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES W. HISE (ADMINISTRATOR)
(334) 872-3471
Entity
Organization

Contact information

Practice address
100 PARK PL, SELMA, AL 36701-7743
(334) 872-3471
(334) 872-8923
Mailing address
100 PARK PL, SELMA, AL 36701-7743
(334) 872-3471
(334) 872-8923

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12523
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4750840S
AL
Enumeration date
08/29/2006
Last updated
02/10/2009
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