Organization
TALLADEGA HEALTHCARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATTI WALLACE (CHAIRMAN OF THE BOARD)
(334) 273-9002
Entity
Organization
Contact information
Practice address
616 CHAFFEE ST, TALLADEGA, AL 35160-2809
(256) 362-4197
(256) 362-0726
Mailing address
616 CHAFFEE ST, TALLADEGA, AL 35160-2809
(256) 362-4197
(256) 362-0726
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12681
AL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009936787
—
AL
05
—
47-50210S
—
AL
Enumeration date
10/20/2006
Last updated
01/11/2012
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