Provider Demographics
NPI:1376158048
Name:SUMMERFORD HEALTH AND REHAB LLC
Entity Type:Organization
Organization Name:SUMMERFORD HEALTH AND REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHALOM
Authorized Official - Middle Name:
Authorized Official - Last Name:LERNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-372-6897
Mailing Address - Street 1:4087 HIGHWAY 31 SW
Mailing Address - Street 2:
Mailing Address - City:FALKVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35622-6319
Mailing Address - Country:US
Mailing Address - Phone:256-784-5275
Mailing Address - Fax:256-784-5852
Practice Address - Street 1:4087 HIGHWAY 31 SW
Practice Address - Street 2:
Practice Address - City:FALKVILLE
Practice Address - State:AL
Practice Address - Zip Code:35622-6319
Practice Address - Country:US
Practice Address - Phone:256-784-5275
Practice Address - Fax:256-784-5852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility