Healthcare Provider Details

I. General information

NPI: 1215109020
Provider Name (Legal Business Name): INFUSION SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2008
Last Update Date: 04/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1360 SPRING VALLEY LN
SYLACAUGA AL
35150-4555
US

IV. Provider business mailing address

1360 SPRING VALLEY LN
SYLACAUGA AL
35150-4555
US

V. Phone/Fax

Practice location:
  • Phone: 256-510-7186
  • Fax: 866-747-7186
Mailing address:
  • Phone: 256-510-7186
  • Fax: 866-747-7186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. SCARLETT EVETT GASTON
Title or Position: CLINICAL MANAGER
Credential: RN, ADN
Phone: 256-510-7186