East Glen, Llc

NPI 1366498941 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1366498941
Enumeration Date 05/26/2006
Last Updated 04/29/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BARBARA E. BARBARA
Position DIRECTOR, REGULATORY AFFAIRS
Phone (205) 836-4231
Fax (205) 838-5327
Practice Location
53 MEDICAL PARK DRIVE, EAST
BIRMINGHAM AL, 35235-3402, US
Phone (205) 836-4231
Fax (205) 838-5327
Business Location
600 CORPORATE PKWY
SUITE 100
BIRMINGHAM AL, 35242-2934, US
Phone (205) 783-8460
Fax (205) 783-8450
Toxanomy
Taxonomy Code 314000000X
License State Alabama
License Number 12566
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According to our database, East Glen, Llc NPI is 1366498941, taxonomy code is 314000000X and license number is 12566, license state is located at Alabama. East Glen, Llc physically located at 53 Medical Park Drive, East, Birmingham AL, 35235-3402. NPI Number 1033115704 has the healthcare provider type.

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1366498941 NPI number is provided on an as is basis without warranty of any kind. 1366498941 is maintained by the National Plan & Provider Enumeration System. The contents of East Glen, Llc are for informational purposes only.