MEDICARE: INFUSION SOLUTIONS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251F00000X	Home Infusion Agency

General Provider Information

NPI Number	:	1215109020
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFUSION SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	1360 SPRING VALLEY LN
Second Line	:
City	:	SYLACAUGA
State	:	AL
Zip	:	35150-4555
Country	:	US
Telephone Number	:	256-510-7186
Fax Number	:	866-747-7186

Provider Business Practice Location Address
First Line	:	1360 SPRING VALLEY LN
Second Line	:
City	:	SYLACAUGA
State	:	AL
Zip	:	35150-4555
Country	:	US
Telephone Number	:	256-510-7186
Fax Number	:	866-747-7186

Authorized Official
Title or Position	:	CLINICAL MANAGER
Name	:	MRS. SCARLETT EVETT GASTON
Credential	:	RN, ADN
Telephone Number	:	256-510-7186

Provider Enumeration Date	:	04/01/2008
Last Update Date	:	04/01/2008

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Directions to “INFUSION SOLUTIONS, LLC ” Practice Location

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