NPI 1295108009
C.R. of Shadescrest, LLC
Practice location
- Address
- 331 25th St W, Jasper, AL 35501-5828
- Phone
- (205) 384-9086
- Fax
- (205) 387-2225
Authorised official
- Name
- Michael E Winget
- Title
- Member
- Phone
- (478) 994-3669
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1295108009
- Entity type
- Organization
- NPI issued
- 3 Nov 2015
- Record last updated
- 3 Nov 2015
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.