Healthcare Provider Details

I. General information

NPI: 1760628044
Provider Name (Legal Business Name): CARING MISSIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2008
Last Update Date: 12/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

814 29TH AVENUE
TUSCALOOSA AL
35401
US

IV. Provider business mailing address

POST OFFICE BOX 2218 814 29TH AVENUE
TUSCALOOSA AL
33540-2218
US

V. Phone/Fax

Practice location:
  • Phone: 205-248-6793
  • Fax: 205-248-6171
Mailing address:
  • Phone: 205-248-6793
  • Fax: 205-248-6171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number2-054119
License Number StateAL

VIII. Authorized Official

Name: VIOLETTA LONG
Title or Position: DIRECTOR
Credential: LN
Phone: 205-248-6793