Wellformed AI

NPI 1962682633 · live from the CMS NPI Registry

Cogburn Nursing Home INC

Skilled Nursing Facility in Mobile, AL. National Provider Identifier 1962682633, active.

NPI record

NPI1962682633 Type 2 · organization
StatusActive
Primary specialtySkilled Nursing Facility 314000000X
Practice location148 Tuscaloosa St, Mobile, AL 36607
Practice phone251-476-4700
EnumeratedNovember 9, 2007
Last updatedNovember 9, 2007
Authorized officialPrentiss Smith, Coo

Taxonomies and licenses

TaxonomyCodeLicense
Skilled Nursing Facility primary314000000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.