Healthcare Provider Details

I. General information

NPI: 1427608504
Provider Name (Legal Business Name): LINDA DEES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2019
Last Update Date: 09/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2063 S BUCKER RD
MOBILE AL
36605-2356
US

IV. Provider business mailing address

2063 S BUCKER RD
MOBILE AL
36605-2356
US

V. Phone/Fax

Practice location:
  • Phone: 251-459-0495
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number1-120898
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: