Healthcare Provider Details
I. General information
NPI: 1962878546
Provider Name (Legal Business Name): ALLEN HEALTH & REHABILITATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/18/2015
Last Update Date: 08/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
735 S WASHINGTON AVE
MOBILE AL
36603-1301
US
IV. Provider business mailing address
100 4TH AVE S #224
ST PETERSBURG FL
33701-4332
US
V. Phone/Fax
- Phone: 251-433-2642
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WILLIAM
M
SCHMITT
Title or Position: PRESIDENT
Credential:
Phone: 662-910-7836