Healthcare Provider Details

I. General information

NPI: 1336246867
Provider Name (Legal Business Name): ATTENTUS TROY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2006
Last Update Date: 12/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 HIGHWAY 231 S
TROY AL
36081-3058
US

IV. Provider business mailing address

1330 HIGHWAY 231 S
TROY AL
36081-3058
US

V. Phone/Fax

Practice location:
  • Phone: 334-670-5000
  • Fax: 334-566-7490
Mailing address:
  • Phone: 334-670-5000
  • Fax: 334-566-7490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number11863
License Number StateAL

VIII. Authorized Official

Name: MS. JANET EVANGELINE SMITH
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 334-670-5000