NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1265973457 |   |   |   | DIVERSICARE OF SELMA, LLC | 100 PARK PL | SELMA | AL | 367017743 |
1811005846 |   |   |   | PARK PLACE NURSING AND REHABILITATION CENTER, LLC | 100 PARK PL | SELMA | AL | 367017743 |
1558078402 | BONNER | CALEB |   |   | 388 HOGGLE RD | VALLEY GRANDE | AL | 367019141 |
1396339925 | HENDERSON | ERICA |   |   | 6276 SYCAMORE DR | MONTGOMERY | AL | 361174536 |
1437331642 | PETER | SHAENA | MARIE |   | 121 MUD BRIDGE RD | FAYETTEVILLE | GA | 302155802 |
1538661962 | REESE | LORRENDA |   |   | 5 WASDEN PL | SELMA | AL | 367016952 |
1285134718 | SEXTON | KATHERINE | ANDREA MANN |   | 104 CLEAR CREEK CT | PRATTVILLE | AL | 360676974 |
1891296299 | WALTON | LAUREN | ANDRES |   | 201 35TH AVE NE | TUSCALOOSA | AL | 354042542 |
1346741139 | WARE | LINDA | T |   | 100 PARK PL | SELMA | AL | 367017743 |