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NPI Code Detail

MEDICARE: PRESBYTERIAN RETIREMENT HOMES OF BIRMINGHAM, INC.

MEDICARE: PRESBYTERIAN RETIREMENT HOMES OF BIRMINGHAM, INC.
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
1313M00000XNursing Facility/Intermediate Care Facility10571AL

General Provider Information

NPI Number : 1619061694
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRESBYTERIAN RETIREMENT HOMES OF BIRMINGHAM, INC.
Provider Business Mailing Address
First Line : 3605 RATLIFF RD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35210-4512
Country : US
Telephone Number : 205-956-2184
Fax Number : 205-956-7133
Provider Business Practice Location Address
First Line : 3605 RATLIFF RD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35210-4512
Country : US
Telephone Number : 205-956-2184
Fax Number : 205-956-7133
Authorized Official
Title or Position : PRESIDENT
Name : MR. WALTER GENE ASHLEY
Credential :
Telephone Number : 205-956-2184
Provider Enumeration Date : 10/03/2006
Last Update Date : 08/22/2020

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