NPI 1487669115 · live from the CMS NPI Registry
Extendicare, INC
Skilled Nursing Facility in Dothan, AL. National Provider Identifier 1487669115, active.
NPI record
| NPI | 1487669115 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 950 S Saint Andrews St, Dothan, AL 36301 |
| Practice phone | 334-793-1177 |
| Mailing address | Pmb 391, 104 Apple Ave Suite 3, Dothan, AL 36303 |
| Enumerated | July 30, 2006 |
| Last updated | February 29, 2024 |
| Authorized official | David Dennis, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | N3501 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.