NPI 1922004811 · live from the CMS NPI Registry
Cloverdale Health Care, INC.
Skilled Nursing Facility in Scottsboro, AL. National Provider Identifier 1922004811, active.
NPI record
| NPI | 1922004811 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 412 W Cloverdale Rd, Scottsboro, AL 35768 |
| Practice phone | 256-259-1505 |
| Enumerated | June 24, 2005 |
| Last updated | June 6, 2017 |
| Authorized official | Kristy Jones, Administrator |
| Other names | Cloverdale Rehabilitation And Nursing Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 10541 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.