One Forty Three Ventures

NPI #1114406402 in Montgomery, Alabama

Provider Information

NPI Number
1114406402
Entity Type
Organization
Organization Name
One Forty Three Ventures
Primary Specialty
In Home Supportive Care
Enumeration Date
Aug 8, 2018
Last Updated
Aug 8, 2018

Practice Location

Address
7121 HALCYON PARK DR
State
Alabama
ZIP Code
36117-7702
Phone
(334) 320-8035

Authorized Official

Name
SUSAN EZELL
Title
OWNER
Phone
(334) 320-8035

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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