C.r. of Shadescrest, LLC

NPI #1295108009 in Jasper, Alabama

Provider Information

NPI Number
1295108009
Entity Type
Organization
Organization Name
C.r. of Shadescrest, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Nov 3, 2015
Last Updated
Nov 3, 2015

Practice Location

Address
331 25TH ST W
City
Jasper
State
Alabama
ZIP Code
35501-5828
Phone
(205) 384-9086

Authorized Official

Name
MICHAEL E WINGET SR.
Title
MEMBER
Phone
(478) 994-3669

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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