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General NPI Number Information
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NPI Number | 1679367320
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Entity Type | Organization
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Legal Business Name | RECREANTUR HOME HEALTH SERVICES
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 2100 SOUTHBRIDGE PKWY STE 650
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City | BIRMINGHAM
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State | AL
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Zip | 35209-1317
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Country | US
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Telephone | 205-922-6862
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2551
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City | BIRMINGHAM
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State | AL
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Zip | 35202-2551
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Country | US
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Telephone | 205-563-1941
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. FREDERICK C. CROCHEN
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Credential |
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Telephone | 205-563-1941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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