Summerford Nursing Home, Inc.

Organization Active NPI Skilled Nursing Facility · Falkville, AL

NPI 1427045673 · NPPES record last updated Apr 5, 2018

Key facts

NPI
1427045673
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
10634 (AL)
Legal business name
SUMMERFORD NURSING HOME, INC.
Practice address
4087 Highway 31 SW
Falkville, AL 35622-6319
Phone
(256) 784-5275
Fax
(256) 784-5852
NPI assigned
Oct 3, 2005
Organization subpart
No

Authorized official

Name
Mr. Robert A. Summerford II
Title
Administrator
Phone
(256) 784-5275

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207R00000X 7119 AL
Clinical Medical Laboratory 291U00000X 01D0641594 AL
Skilled Nursing Facility 314000000X 10634 AL Yes

Addresses

Primary practice location

4087 Highway 31 SW
Falkville, AL 35622-6319

Mailing address

4087 Highway 31 SW
Falkville, AL 35622-6319
Phone (256) 784-5275

Other identifiers

IdentifierTypeStateIssuer
4750750SMedicaidAL

Other providers in Falkville, AL

All providers in Falkville, AL · Skilled Nursing Facility in Alabama

Sources for this page

Verify at the official NPI Registry.