Healthcare Provider Details

I. General information

NPI: 1457964769
Provider Name (Legal Business Name): HELEN'S PLACE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2020
Last Update Date: 08/26/2020
Certification Date: 08/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 VOEKEL RD
HUNTSVILLE AL
35811-9159
US

IV. Provider business mailing address

151 VOEKEL RD
HUNTSVILLE AL
35811-9159
US

V. Phone/Fax

Practice location:
  • Phone: 256-945-1896
  • Fax:
Mailing address:
  • Phone: 256-945-1896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KENDRA RODGERS
Title or Position: OWNER
Credential:
Phone: 256-417-2863