Healthcare Provider Details

I. General information

NPI: 1407365000
Provider Name (Legal Business Name): A NEW BEGINNING FOR YOU, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2017
Last Update Date: 12/12/2022
Certification Date: 12/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 NORTH 3 NOTCH STREET
TROY AL
36081-0193
US

IV. Provider business mailing address

PO BOX 193
TROY AL
36081-0193
US

V. Phone/Fax

Practice location:
  • Phone: 334-807-9900
  • Fax: 334-807-9979
Mailing address:
  • Phone: 334-807-9900
  • Fax: 334-807-9979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. PATRICIA ANN WRIGHT
Title or Position: ADMINISTRATOR
Credential:
Phone: 334-807-9900