NPI 1124749163 · live from the CMS NPI Registry
Arabella Health And Wellness Of Russellville LLC
Skilled Nursing Facility in Russellville, AL. National Provider Identifier 1124749163, active.
NPI record
| NPI | 1124749163 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 705 Gandy St Ne, Russellville, AL 35653 |
| Practice phone | 256-332-3773 |
| Mailing address | 3440 Hollywood Blvd Ste 415, Hollywood, FL 33021 |
| Enumerated | September 8, 2022 |
| Last updated | September 30, 2022 |
| Authorized official | Chaim Hertzel, Member |
| Other names | Arabella Health & Wellness Of Russellville; East Village Nursing And Rehab Propco LLC |
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.