Organization Name: | FAYETTE MEDICAL CENTER |
NPI Number: | 1245226430 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL G WILSON (DIRECTOR OF BUSINESS SERVICES) |
Mailing Address: | 1653 Temple Ave N Fayette |
State: | AL US |
Postal Code: | 355551314 |
Phone Number: | 2053438500 |
Fax Number: | 2059321257 |
NPI Enumeration Date: | 09/22/2005 |
NPI Last Update Date: | 03/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 311ZA0620X |
License Number: | 12539 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Custodial Care Facility |
Taxonomy Specialization: | Adult Care Home |
Taxonomy Definition: | A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |