Healthcare Provider Details

I. General information

NPI: 1508006032
Provider Name (Legal Business Name): EMERGING HOME CARE INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2009
Last Update Date: 02/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3868 HIGHWAY 431
ROANOKE AL
36274-2640
US

IV. Provider business mailing address

3868 HIGHWAY 431 P.O. BOX 899
ROANOKE AL
36274-2640
US

V. Phone/Fax

Practice location:
  • Phone: 334-863-7511
  • Fax: 334-863-7500
Mailing address:
  • Phone: 334-863-7511
  • Fax: 334-863-7500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number110562
License Number StateAL

VIII. Authorized Official

Name: MR. JAMES THOMAS WOOD
Title or Position: PRESIDENT/CHIEF PHARMACIST
Credential: RPH CDE
Phone: 334-863-7511