Organization
HALEYVILLE HEALTH CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY HOOKER (ADMINISTRATOR)
(205) 486-9478
Entity
Organization
Contact information
Practice address
2201 11TH AVE, HALEYVILLE, AL 35565-1613
(205) 486-9478
(205) 486-8393
Mailing address
2201 11TH AVE, PO BOX 160, HALEYVILLE, AL 35565-1613
(205) 486-9478
(205) 486-8393
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10674
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010647
BCBS PROVIDER NUMBER
AL
05
—
4754830S
—
AL
Enumeration date
06/22/2005
Last updated
02/15/2022
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