Healthcare Provider Details
I. General information
NPI: 1548188139
Provider Name (Legal Business Name): VERNON OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1050 CONVALESCENT RD
VERNON AL
35592-4823
US
IV. Provider business mailing address
1050 CONVALESCENT RD
VERNON AL
35592-4823
US
V. Phone/Fax
- Phone: 205-695-9313
- Fax: 205-695-9820
- Phone: 205-695-9313
- Fax: 205-695-9820
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:
SARAH
BECHER
Title or Position: MEMBER
Credential:
Phone: 973-796-6175