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General NPI Number Information
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NPI Number | 1477506970
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Entity Type | Organization
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Legal Business Name | HUNTSVILLE SENIOR SERVICES, LLC
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 2004 MAX LUTHER DR NW
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City | HUNTSVILLE
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State | AL
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Zip | 35810-3800
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Country | US
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Telephone | 256-852-0033
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Fax | 256-859-7700
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Provider Business Mailing Address
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Address Line | 2061 POOLE DR NW
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City | HUNTSVILLE
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State | AL
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Zip | 35810-3843
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Country | US
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Telephone | 256-852-0033
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Fax | 256-859-7700
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | VICKI L NESMITH
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Credential |
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Telephone | 256-852-0033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number | 12610
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | N4505
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License Number State | AL
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