Organization
PALM GARDENS HEALTH AND REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP CODY LONG (VICE PRESIDENT)
(205) 391-3600
Entity
Organization
Contact information
Practice address
3104 DAUPHIN SQ CONNECTOR, MOBILE, AL 36607-2513
(251) 450-2800
(251) 450-2802
Mailing address
3104 DAUPHIN SQ CONNECTOR, MOBILE, AL 36607-2513
(251) 450-2800
(251) 450-2802
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152549
—
AL
Enumeration date
06/07/2013
Last updated
10/28/2020
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