01D0673552 CLIA NUMBER - DIVERSICARE OF PELL CITY

Laboratory Demographics

CLIA Number: 01D0673552

Facility Name: DIVERSICARE OF PELL CITY

Facility Address:
510 WOLF CREEK RD NORTH
PELL CITY, AL
ZIP 35125
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Facility Phone Number: (205) 338-3329

Facility Type: SKILLED NURSING/NURSING FACILITY

Certificate Type: Waiver

NPI Number: 1942755038

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Field Name	Field Value
CLIA Number	01D0673552
LAB Type	SKILLED NURSING/NURSING FACILITY
Facility Name	DIVERSICARE OF PELL CITY
Street	510 WOLF CREEK RD NORTH
City	PELL CITY
State	AL
ZIP	35125
Phone	(205) 338-3329

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Laboratory Demographics

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