Healthcare Provider Details

I. General information

NPI: 1720084767
Provider Name (Legal Business Name): USA HEALTHCARE MORGAN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2005
Last Update Date: 11/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2326 MORGAN AVE SW
DECATUR AL
35601-6244
US

IV. Provider business mailing address

2326 MORGAN AVE SW
DECATUR AL
35601
US

V. Phone/Fax

Practice location:
  • Phone: 256-340-5765
  • Fax: 256-340-1281
Mailing address:
  • Phone: 256-340-5765
  • Fax: 256-340-1281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number10716
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number10716
License Number StateAL

VIII. Authorized Official

Name: MRS. ROBBIE BARNETT
Title or Position: ADMINISTRATOR
Credential:
Phone: 256-340-5765