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State Of Alabama Department Of Public Health

Home Health in Roanoke, AL. Organization (NPI-2).

NPI number1417023987
StatusActive
Last updated in NPPESJul 30, 2007

Details

NPI
1417023987
Entity type
Organization (NPI-2)
Legal business name
State Of Alabama Department Of Public Health
Organization subpart
Yes
Enumeration date
Nov 28, 2006
Last updated
Jul 30, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Other names

  • Randolph County Home Care (Doing Business As)

Practice location

320 Main Street
Roanoke, AL 36274

Phone 334-863-8983 · Fax 334-863-4871

Mailing address

201 Monroe St
The Rsa Tower, Suite 1200
Montgomery, AL 36104-3735

Phone 334-206-5341 · Fax 334-206-5724

Authorized official

Grover T Wedgeworth
State Home Care Director
3342065341

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