| Organization Name: | ROBERTSDALE NURSING HOME, INC. |
| NPI Number: | 1609276245 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CLARENCE M BALL (CEO) |
| Mailing Address: | 18700 Us Highway 90 Robertsdale |
| State: | AL US |
| Postal Code: | 365673271 |
| Phone Number: | 2519477243 |
| Fax Number: | 2519477245 |
| NPI Enumeration Date: | 09/02/2014 |
| NPI Last Update Date: | 09/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |