State of Alabama Department of Public Health

NPI #1649350208 in Moulton, Alabama

Provider Information

NPI Number
1649350208
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 17, 2006
Last Updated
Oct 22, 2009

Practice Location

Address
13299 AL HIGHWAY 157
State
Alabama
ZIP Code
35650-3706
Phone
(256) 974-7076

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Home Health

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