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Contact Information

WEST GATE VILLAGE, LLC
100 PINEVIEW ST
BREWTON, AL36426-1302
 Phone: 251-867-6077
 Fax: 251-867-5675
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for WEST GATE VILLAGE, LLC

NPI # 1144289711
LBN Legal business name WEST GATE VILLAGE, LLC
Authorized official NOEL DUNNAM - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/21/2006
Last updated 03/06/2024 - About 2 years ago
Identifiers
AL License # 12532
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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