Provider Demographics
NPI:1376782177
Name:ARBOR SPRINGS HEALTH AND REHAB CENTER, LTD
Entity Type:Organization
Organization Name:ARBOR SPRINGS HEALTH AND REHAB CENTER, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:MARCUS
Authorized Official - Last Name:TRAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-749-1471
Mailing Address - Street 1:1910 PEPPERELL PKWY
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36801-5440
Mailing Address - Country:US
Mailing Address - Phone:334-749-1471
Mailing Address - Fax:334-749-1969
Practice Address - Street 1:1910 PEPPERELL PKWY
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-5440
Practice Address - Country:US
Practice Address - Phone:334-749-1471
Practice Address - Fax:334-749-1969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-18
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALN4103314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL4755900SMedicaid
AL015192Medicare Oscar/Certification