Organization
COGBURN NURSING HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRENTISS E SMITH (COO)
(251) 476-4700
Entity
Organization
Contact information
Practice address
148 TUSCALOOSA ST, MOBILE, AL 36607-3408
(251) 476-4700
Mailing address
148 TUSCALOOSA ST, MOBILE, AL 36607-3408
(251) 476-4700
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/09/2007
Last updated
11/09/2007
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