Healthcare Provider Details
I. General information
NPI: 1700290095
Provider Name (Legal Business Name): MGF HEALTHCARE PARTNERS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/16/2014
Last Update Date: 06/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4244 CAHABA HEIGHTS CT STE 200
VESTAVIA AL
35243-5711
US
IV. Provider business mailing address
4244 CAHABA HEIGHTS CT STE 200
VESTAVIA AL
35243-5711
US
V. Phone/Fax
- Phone: 205-298-6605
- Fax: 205-298-6606
- Phone: 205-298-6605
- Fax: 205-298-6606
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
MELISSA
FORD
Title or Position: PRESIDENT
Credential: RN
Phone: 205-298-6605