Organization
RESURRECTION LIFE CENTER
Active
Other names
Resurrection Catholic Missions Of The South
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL WILLIAMS REV. C.R. (CHIEF EXECUTIVE OFFICER)
(334) 263-4221
Entity
Organization
Contact information
Practice address
1240 COUNTY ROAD 39, DEATSVILLE, AL 36022-2536
(334) 263-0618
(334) 230-2056
Mailing address
1240 COUNTY ROAD 39, DEATSVILLE, AL 36022-2536
(334) 263-0618
(334) 230-2056
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4752130S
—
AL
Enumeration date
06/21/2005
Last updated
07/21/2022
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