Organization Name: | TI-RESURRECTION LIFE CENTER, L.L.C. |
NPI Number: | 1588862635 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH TUTERA (MANAGER) |
Mailing Address: | 65 Charlton Place Deatsville |
State: | AL US |
Postal Code: | 36022 |
Phone Number: | 3342630618 |
Fax Number: | |
NPI Enumeration Date: | 07/10/2007 |
NPI Last Update Date: | 03/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | D0108 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |