Organization
FLORENCE NURSING AND REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORBERT A BENNETT (CO-CHIEF EXECUTIVE OFFICER)
(716) 662-4955
Entity
Organization
Contact information
Practice address
2107 CLOYD BLVD, FLORENCE, AL 35630-1503
(256) 766-5771
(256) 766-8135
Mailing address
PO BOX 428, ORCHARD PARK, NY 14127-0428
(716) 662-4955
(716) 667-9230
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12593
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00387
BC BS OF ALABAMA
AL
05
—
4757540S
—
AL
01
—
71-00015
MEDICARE COMPLETE
AL
Enumeration date
11/16/2006
Last updated
12/08/2023
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