Healthcare Provider Details

I. General information

NPI: 1942489059
Provider Name (Legal Business Name): COMUNICARE DAY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2007
Last Update Date: 10/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5452 POINTER RD
THEODORE AL
36582-8854
US

IV. Provider business mailing address

5452 POINTER RD
THEODORE AL
36582-8854
US

V. Phone/Fax

Practice location:
  • Phone: 251-802-8241
  • Fax:
Mailing address:
  • Phone: 251-802-8241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number080310
License Number StateAL

VIII. Authorized Official

Name: MRS. LATOYA J MCCUTCHEON
Title or Position: PROGRAM ADMINISTRATOR
Credential:
Phone: 251-802-8241