Grand Bay Convalescent Home INC
Skilled Nursing Facility in Grand Bay, AL. Organization (NPI-2).
NPI number1386636033
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1386636033
- Entity type
- Organization (NPI-2)
- Legal business name
- Grand Bay Convalescent Home INC
- Organization subpart
- No
- Enumeration date
- Aug 18, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 10610 | AL | Yes |
Practice location
13750 Highway 90 WestGrand Bay, AL 36541
Phone 251-865-6443 · Fax 251-865-3610
Mailing address
Po Box 328Grand Bay, AL 36541-0328
Phone 251-865-6443 · Fax 251-865-3610
Authorized official
Jimmie L Hall
Assistant Administrator
2518656443
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