NPI 1053712943 · live from the CMS NPI Registry
C.R. Of Coosa Valley, LLC
Skilled Nursing Facility in Glencoe, AL. National Provider Identifier 1053712943, active.
NPI record
| NPI | 1053712943 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 513 Pineview Ave, Glencoe, AL 35905 |
| Practice phone | 256-492-5350 |
| Enumerated | September 10, 2014 |
| Last updated | September 10, 2014 |
| Authorized official | Michael Winget, Manager |
| Other names | Coosa Valley Health And Rehab |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.