American Family Care, LLC
Clinic/Center, Primary Care in Prattville, AL. Organization (NPI-2).
NPI number1245779529
StatusActive
Last updated in NPPESApr 24, 2024
Details
- NPI
- 1245779529
- Entity type
- Organization (NPI-2)
- Legal business name
- American Family Care, LLC
- Organization subpart
- No
- Enumeration date
- Feb 20, 2017
- Certification date
- Apr 24, 2024
- Last updated
- Apr 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
| 261Q00000X | Clinic/Center | 1-138779 | AL | |
| 261QU0200X | Clinic/Center, Urgent Care | – | – |
Practice location
1965 Cobbs Ford RdPrattville, AL 36066-7290
Phone 334-361-7054 · Fax 334-361-8750
Mailing address
1965 Cobbs Ford RdPrattville, AL 36066-7290
Phone 334-361-7054 · Fax 334-361-8750
Authorized official
Randy Johansen
President
2054038902
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