Healthcare Provider Details

I. General information

NPI: 1639947385
Provider Name (Legal Business Name): BB INSTITUTE AL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2023
Last Update Date: 12/12/2023
Certification Date: 12/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8312 AL HIGHWAY 87 LOT 547
TROY AL
36079-5390
US

IV. Provider business mailing address

3232 S CLIFTON AVE
WICHITA KS
67216-2718
US

V. Phone/Fax

Practice location:
  • Phone: 334-268-9838
  • Fax:
Mailing address:
  • Phone: 334-268-9838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BRIONE COWART
Title or Position: OWNER
Credential:
Phone: 334-268-9838