MEDICARE: ABIGAIL STROWN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	408	AL

General Provider Information

NPI Number	:	1184344327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL STROWN

Provider Business Mailing Address
First Line	:	8836 RYAN RIDGE LOOP
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-3849
Country	:	US
Telephone Number	:	334-467-8984
Fax Number	:

Provider Business Practice Location Address
First Line	:	8836 RYAN RIDGE LOOP
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-3849
Country	:	US
Telephone Number	:	334-467-8984
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2022
Last Update Date	:	08/29/2022

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Directions to “ ABIGAIL STROWN ” Practice Location

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