Healthcare Provider Details
I. General information
NPI: 1093253668
Provider Name (Legal Business Name): INFINITY INFUSION NURSING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/03/2017
Last Update Date: 02/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4193 SADDLEWOOD DR
SARALAND AL
36571-9535
US
IV. Provider business mailing address
5717 HIGHWAY 43 STE B
SATSUMA AL
36572-2111
US
V. Phone/Fax
- Phone: 251-753-3949
- Fax:
- Phone: 601-604-0066
- Fax: 601-292-7230
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 302F00000X |
| Taxonomy | Exclusive Provider Organization |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMY
ROSE
WRIGHT
Title or Position: PRESIDENT/CEO
Credential: RN
Phone: 601-604-0066