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FAYETTE MEDICAL CENTER

Adult Care Home

Fayette, Alabama

Provider NPI: 1245226430

Organization Information:
Organization Name:  FAYETTE MEDICAL CENTER


Practice Location:
1653 TEMPLE AVE N  FAYETTE, AL 35555 US
Tel: 205-343-8500  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
AL12539

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS010124AL01
4753120SAL05
RAILROAD MEDICARECG6924AL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS AL - Page 1



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