Provider Demographics
NPI:1417955311
Name:WALKER REHABILITATION CENTER, INC
Entity Type:Organization
Organization Name:WALKER REHABILITATION CENTER, INC
Other - Org Name:CONSULTAMERICA INC. CONSULTAMERICA OF CABON HILL
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CORPORATE ACCOUNTS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BECKMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-485-2558
Mailing Address - Street 1:41899 HIGHWAY 195
Mailing Address - Street 2:
Mailing Address - City:HALEYVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35565-7056
Mailing Address - Country:US
Mailing Address - Phone:205-486-2558
Mailing Address - Fax:
Practice Address - Street 1:350 4TH STREET NE
Practice Address - Street 2:
Practice Address - City:CARBON HILL
Practice Address - State:AL
Practice Address - Zip Code:35549
Practice Address - Country:US
Practice Address - Phone:205-924-4404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-13
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10667314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL4756500SMedicaid
AL015408Medicare ID - Type UnspecifiedMEDICARE