Basic Information
| Provider Information | |||||||||
| NPI: | 1801553185 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ALABASTER OPCO, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 850 9TH ST NW | ||||||||
| Address2: | |||||||||
| City: | ALABASTER | ||||||||
| State: | AL | ||||||||
| PostalCode: | 350079179 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2056633859 | ||||||||
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| Practice Location | |||||||||
| Address1: | 850 9TH ST NW | ||||||||
| Address2: | |||||||||
| City: | ALABASTER | ||||||||
| State: | AL | ||||||||
| PostalCode: | 350079179 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2056633859 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/22/2021 | ||||||||
| LastUpdateDate: | 11/22/2021 | ||||||||
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| AuthorizedOfficialLastName: | LITT | ||||||||
| AuthorizedOfficialFirstName: | JONATHAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | TREASURER | ||||||||
| AuthorizedOfficialTelephone: | 6468443603 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 11/20/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.