Healthcare Provider Details
I. General information
NPI: 1235671686
Provider Name (Legal Business Name): ALWAYS THERE PELL CITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/15/2016
Last Update Date: 11/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
30 COMER AVE SUITE A
PELL CITY AL
35125-1411
US
IV. Provider business mailing address
3021 LORNA RD SUITE 100
BIRMINGHAM AL
35216-4587
US
V. Phone/Fax
- Phone: 205-824-0224
- Fax: 205-824-8877
- Phone: 205-824-0224
- Fax: 202-582-4887
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALLISON
E
HARRELL
Title or Position: MANAGER
Credential: RN
Phone: 205-824-0224