NPI 1073500831

Shadescrest Health Care Center

Organisation Skilled Nursing Facility Jasper, AL

Practice location

Address: 331 25th St W, Jasper, AL 35501-5828
Phone: (205) 384-9086
Fax: (205) 387-2225
Mailing address: 331 25th St W P.O. Box 1012, Jasper, AL 35501-5828

Authorised official

Name: Joe B Havens
Title: Administrator
Phone: (205) 384-9086

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 10671 (AL)

Other Skilled Nursing Facility providers in Alabama →

Registry record

NPI: 1073500831
Entity type: Organization
NPI issued: 5 Oct 2005
Record last updated: 19 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.