Healthcare Provider Details

I. General information

NPI: 1982644951
Provider Name (Legal Business Name): CROSSVILLE HEALTH REALTY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 08/22/2020
Certification Date:
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: CLAUDE E LEE
Title or Position: CFO
Credential:
Phone: 205-391-3600