Organization
CLOVERDALE HEALTH CARE, INC.
Active
Other names
Cloverdale Rehabilitation and Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTY A JONES LNHA (ADMINISTRATOR)
(256) 259-1505
Entity
Organization
Contact information
Practice address
412 W CLOVERDALE RD, SCOTTSBORO, AL 35768-4264
(256) 259-1505
(256) 259-4279
Mailing address
412 W CLOVERDALE RD, SCOTTSBORO, AL 35768-4264
(256) 259-1505
(256) 259-4279
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10541
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011620
BLUE CROSS BLUE SHIELD AL
AL
05
—
4753350S
—
AL
Enumeration date
06/24/2005
Last updated
06/06/2017
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