Southern Estates Assisted Living

NPI #1720482938 in Scottsboro, Alabama

Provider Information

NPI Number
1720482938
Entity Type
Organization
Organization Name
Southern Estates Assisted Living
Primary Specialty
Assisted Living Facility
Enumeration Date
Oct 17, 2014
Last Updated
Oct 17, 2014

Practice Location

Address
212 E STEWART RD
State
Alabama
ZIP Code
35769-6406
Phone
(256) 574-4202

Authorized Official

Name
MR. ROBERT B DAWSON
Title
OWNER
Phone
(256) 574-4202

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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