Healthcare Provider Details

I. General information

NPI: 1649738030
Provider Name (Legal Business Name): AMERICAN FAMILY CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2019
Last Update Date: 03/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2604 HIGHWAY 31 S
DECATUR AL
35603-1506
US

IV. Provider business mailing address

3700 CAHABA BEACH RD
BIRMINGHAM AL
35242-5225
US

V. Phone/Fax

Practice location:
  • Phone: 256-445-3100
  • Fax:
Mailing address:
  • Phone: 205-421-2088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SALISIA VALENTINE
Title or Position: DIRECTOR OF PHYSICIAN EXTENDERS
Credential: CRNP
Phone: 205-421-2088