Organization
COOSA NURSING ADK, LLC
Active
Other names
COOSA VALLEY HEALTH CARE
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL GROEBER (VICE PRESIDENT/MIS)
(937) 964-8974
Entity
Organization
Contact information
Practice address
513 PINEVIEW AVE, GLENCOE, AL 35905-1803
(256) 492-5350
Mailing address
513 PINEVIEW AVE, GLENCOE, AL 35905-1803
(256) 492-5350
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12535
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4753160S
—
AL
Enumeration date
10/03/2006
Last updated
02/03/2011
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