Healthcare Provider Details

I. General information

NPI: 1811986656
Provider Name (Legal Business Name): C & G HEALTHCARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 09/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6450 OLD TUSCALOOSA HWY
MC CALLA AL
35111-3606
US

IV. Provider business mailing address

6450 OLD TUSCALOOSA HWY
MC CALLA AL
35111-3606
US

V. Phone/Fax

Practice location:
  • Phone: 205-477-6161
  • Fax: 205-477-5566
Mailing address:
  • Phone: 205-477-6161
  • Fax: 205-477-5566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number10562
License Number StateAL

VIII. Authorized Official

Name: MRS. DEBORAH W. DOSS
Title or Position: BUSINESS OFFICE MANAGER
Credential:
Phone: 205-477-6161