01D0305230 CLIA NUMBER - EASTERN SHORE REHABILITATION AND HEALTH

Laboratory Demographics

  • Code: 01D0305230
  • Facility Name: EASTERN SHORE REHABILITATION AND HEALTH
  • Facility Address: 101 VILLA DRIVE
    DAPHNE, AL
    ZIP 36526
  • Facility Phone: 251 621-4200
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • NPI Number: 1467507624
  • Taxonomy: 111N00000X - Chiropractor
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CLIA Record

Field Name Field Value
CLIA Number 01D0305230
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EASTERN SHORE REHABILITATION AND HEALTH
Street 101 VILLA DRIVE
City DAPHNE
State AL
ZIP 36526
Phone 251 621-4200
Certificate Type 4
Certificate Effective Date 9/1/2022
Certificate Expiration Date 8/31/2024
Facility Type Waiver

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This page was last updated on: 4/23/2024