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NPI Code Detail

MEDICARE: A FRESH START, L.L.C.

MEDICARE: A FRESH START, L.L.C.
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
1332B00000XDurable Medical Equipment & Medical Supplies

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437168119
Entity Type Code : Organization
Provider Name (Legal Business Name) : A FRESH START, L.L.C.
Provider Business Mailing Address
First Line : 123 SAND MOUNTAIN DR NE
Second Line :
City : ALBERTVILLE
State : AL
Zip : 35950-1709
Country : US
Telephone Number : 256-891-4030
Fax Number : 256-894-4433
Provider Business Practice Location Address
First Line : 123 SAND MOUNTAIN DR NE
Second Line :
City : ALBERTVILLE
State : AL
Zip : 35950-1709
Country : US
Telephone Number : 256-891-4030
Fax Number : 256-894-4433
Authorized Official
Title or Position : OWNER
Name : LESLIE PEPPERS
Credential : BOC
Telephone Number : 256-891-4030
Provider Enumeration Date : 08/05/2006
Last Update Date : 04/20/2010

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Directions to “A FRESH START, L.L.C. ” Practice Location

Language Start Address Practice Location
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