| Young Nursing Home | |
|
101 Gateway Dr Enterprise AL 36330-7850 | |
| (334) 400-2022 | |
| (334) 699-5129 |
| Full Name | Young Nursing Home |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 Gateway Dr, Enterprise, Alabama |
| Authorized Official Name and Position | Gabruce Alan Young (OWNER) |
| Authorized Official Contact | 3344002022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Young Nursing Home 101 Gateway Dr Enterprise AL 36330-7850 Ph: (334) 400-2022 | Young Nursing Home 101 Gateway Dr Enterprise AL 36330-7850 Ph: (334) 400-2022 |
| NPI Number | 1508753195 |
|---|---|
| Provider Enumeration Date | 06/18/2025 |
| Last Update Date | 08/06/2025 |
| Certification Date | 08/06/2025 |
| Medicare PECOS PAC ID | 0446759393 |
|---|---|
| Medicare Enrollment ID | O20250818001906 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508753195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Gabruce a Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184647992 PECOS PAC ID: 1658260393 Enrollment ID: I20070618000375 |
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