State of Alabama Department of Public Health

NPI #1124104252 in Andalusia, Alabama

Provider Information

NPI Number: 1124104252
Entity Type: Organization
Organization Name: State of Alabama Department of Public Health
Subpart: Yes (part of a larger organization)
Parent Organization: STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Primary Specialty: Home Health
Enumeration Date: Oct 31, 2006
Last Updated: Jul 26, 2007

Practice Location

Address: 23989 ALABAMA HWY 55
City: Andalusia
State: Alabama
ZIP Code: 36420
Phone: (334) 222-5970

Authorized Official

Name: GROVER T WEDGEWORTH
Title: STATE HOME CARE DIRECTOR
Phone: (334) 206-5341

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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