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General NPI Number Information
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NPI Number | 1629278288
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Entity Type | Organization
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Legal Business Name | RESPONSICARE INC.
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 10/16/2008
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Provider Practice Location Address
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Address Line | 2424 DANVILLE RD SW SUITE K
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City | DECATUR
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State | AL
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Zip | 35603-4280
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Country | US
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Telephone | 256-355-0555
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Fax | 256-355-0549
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Provider Business Mailing Address
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Address Line | 2424 DANVILLE RD SW SUITE K
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City | DECATUR
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State | AL
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Zip | 35603-4280
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Country | US
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Telephone | 256-355-0555
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Fax | 256-355-0549
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Authorized Official
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Title or Position | PHYSICIAN / CEO
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Name | DR. SCOTT ANDERSON
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Credential | M.D.
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Telephone | 256-355-0555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25897
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License Number State | AL
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