Organization
MAGNOLIA HAVEN NURSING HOME, LLC
Active
Parent organization
MAGNOLIA HAVEN NURSING HOME, LLC
Other names
Tuskegee Rehabilitation Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAGNOLIA HAVEN NURSING HOME, LLC
Authorized official
OIDA GANDY (ADMINISTRATOR)
(334) 727-4960
Entity
Organization
Contact information
Practice address
602 AUBURN ST, TUSKEGEE, AL 36083-7274
(334) 727-4960
Mailing address
602 AUBURN ST, TUSKEGEE, AL 36083-7274
(334) 727-4960
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
R4401
AL
Other
Enumeration date
01/08/2010
Last updated
07/27/2010
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