Willow Trace Nursing Center

LBN: Delta Health Group Inc
Willow Trace Nursing Center is an health care organization with primary practice located at 1406 E Pushmataha St , Butler AL 36904-2728. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Delta Health Group Inc can be contacted via phone (205) 459-5506, or through Bell, Scott J via phone (850) 430-0000.

Contact Information

Primary practice address
1406 E Pushmataha St Butler AL 36904-2728
Phone: (205) 459-5506
Fax: (205) 459-5503
Website:
Map and Directions
Authorized official contact:
Name: Bell, Scott J
Phone: (850) 430-0000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 10483 Alabama

Profile Details

NPI number 1285626150
LBN Legal business name Delta Health Group Inc
DBA Doing business as Willow Trace Nursing Center
Authorized official Bell, Scott J
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2005
Last updated Aug 6th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285626150 NPPES
Alabama MEDICAID 47-51060S

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