Healthcare Provider Details

I. General information

NPI: 1336200526
Provider Name (Legal Business Name): CROSSVILLE HEALTH AND REHABILITATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 10/12/2020
Certification Date: 10/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8922 HIGHWAY 227 NORTH
CROSSVILLE AL
35962
US

IV. Provider business mailing address

8922 HIGHWAY 227 NORTH
CROSSVILLE AL
35962
US

V. Phone/Fax

Practice location:
  • Phone: 256-528-7844
  • Fax:
Mailing address:
  • Phone: 256-528-7844
  • Fax:

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: MR. PHILLIP CODY LONG
Title or Position: VICE-PRESIDENT
Credential:
Phone: 205-391-3600