Organization · Type 2 NPI
Southern Estates Assisted Living
Assisted Living Facility · Scottsboro, AL
NPI number
1720482938
Active
Practice location
212 E Stewart Rd
Scottsboro, AL 35769-6406
Fax (256) 574-6916
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | D3603 (AL) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
About NPI 1720482938
Southern Estates Assisted Living's National Provider Identifier is 1720482938, issued on Oct 17, 2014. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Scottsboro, AL. The record was last updated on Oct 17, 2014.