Healthcare Provider Details

I. General information

NPI: 1366083073
Provider Name (Legal Business Name): BUTLER HEALTH AND REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2019
Last Update Date: 04/17/2020
Certification Date: 04/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1406 E PUSHMATAHA ST
BUTLER AL
36904-2728
US

IV. Provider business mailing address

1406 E PUSHMATAHA ST
BUTLER AL
36904-2728
US

V. Phone/Fax

Practice location:
  • Phone: 205-459-5506
  • Fax: 205-459-5503
Mailing address:
  • Phone: 205-459-5506
  • Fax: 205-459-5503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: SHALOM LERNER
Title or Position: MANAGER
Credential:
Phone: 718-564-6560