Healthcare Provider Details
I. General information
NPI: 1114967502
Provider Name (Legal Business Name): ATTENTUS TROY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/07/2006
Last Update Date: 12/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1340 HIGHWAY 231 SOUTH
TROY AL
36081
US
IV. Provider business mailing address
1330 HIGHWAY 231 S
TROY AL
36081-3058
US
V. Phone/Fax
- Phone: 334-670-5257
- Fax: 334-670-5348
- Phone: 334-670-5257
- Fax: 334-670-5348
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | NOT REQUIRED IN AL |
| License Number State | |
VIII. Authorized Official
Name: MRS.
JANET
EVANGELINE
SMITH
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 334-670-5000