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General NPI Number Information
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NPI Number | 1912301383
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Entity Type | Organization
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Legal Business Name | ARBOR WOODS HEALTH AND REHAB LLC
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Dates
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Enumeration Date | 10/14/2014
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 515 2ND AVE NW
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City | REFORM
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State | AL
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Zip | 35481-2331
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Country | US
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Telephone | 205-375-6379
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Fax | 205-375-8283
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Provider Business Mailing Address
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Address Line | PO BOX 400
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City | REFORM
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State | AL
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Zip | 35481-0400
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Country | US
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Telephone | 205-375-6379
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Fax | 205-375-8283
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. JONATHAN M TRAYLOR
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Credential |
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Telephone | 334-749-1471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | N5401
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License Number State | AL
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