Healthcare Provider Details

I. General information

NPI: 1083071708
Provider Name (Legal Business Name): NAC HEALTH CARE SERVICE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2016
Last Update Date: 01/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1218 CENTER POINT PKWY
BIRMINGHAM AL
35215-6310
US

IV. Provider business mailing address

1218 CENTER POINT PKWY
BIRMINGHAM AL
35215-6310
US

V. Phone/Fax

Practice location:
  • Phone: 205-868-3846
  • Fax:
Mailing address:
  • Phone: 205-868-3846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. TERESA DICKERSON
Title or Position: EXCEUTIVE DIRECTOR
Credential:
Phone: 205-868-3846