Prohealth-Gulf Coast, LLC

NPI #1174900609 in Fairhope, Alabama

Provider Information

NPI Number: 1174900609
Entity Type: Organization
Organization Name: Prohealth-Gulf Coast, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: PROHEALTH, LLC
Primary Specialty: Home Health
Enumeration Date: May 5, 2015
Last Updated: May 10, 2019

Practice Location

Address: 105B LOTTIE LN
City: Fairhope
State: Alabama
ZIP Code: 36532-2995
Phone: (251) 517-7556

Authorized Official

Name: MR. DAVID A LESTER, JD
Title: GENERAL COUNSEL
Phone: (205) 820-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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