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NPI Code Detail

MEDICARE: PREFERRED HEALTH HOLDINGS LLC

MEDICARE: PREFERRED HEALTH HOLDINGS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility10607AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629065289
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREFERRED HEALTH HOLDINGS LLC
Provider Business Mailing Address
First Line : 3120 NORTH ST
Second Line :
City : GUNTERSVILLE
State : AL
Zip : 35976-2912
Country : US
Telephone Number : 256-582-6561
Fax Number :
Provider Business Practice Location Address
First Line : 3120 NORTH ST
Second Line :
City : GUNTERSVILLE
State : AL
Zip : 35976-2962
Country : US
Telephone Number : 256-582-6561
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : JERRY SOUTH
Credential :
Telephone Number : 256-582-6561
Provider Enumeration Date : 09/29/2005
Last Update Date : 08/17/2007

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Directions to “PREFERRED HEALTH HOLDINGS LLC ” Practice Location

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