Healthcare Provider Details

I. General information

NPI: 1457804247
Provider Name (Legal Business Name): PURIFOY ADULT DAY HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2016
Last Update Date: 07/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8707 HELENA ROAD
PELHAM AL
35124
US

IV. Provider business mailing address

8707 HELENA RD
PELHAM AL
35124-2732
US

V. Phone/Fax

Practice location:
  • Phone: 205-563-0988
  • Fax:
Mailing address:
  • Phone: 205-563-0988
  • 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: MS. ROBIN M NETTLES
Title or Position: OWNER
Credential:
Phone: 205-563-0988