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Takita Green

Home Health in Homewood, AL. Individual provider (NPI-1).

NPI number1669090809
StatusActive
Last updated in NPPESJul 13, 2020

Details

NPI
1669090809
Entity type
Individual (NPI-1)
Name
Takita Green
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 13, 2020
Certification date
Jul 13, 2020
Last updated
Jul 13, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

323 Olympia Dr
Homewood, AL 35209-3743

Phone 205-447-1886

Mailing address

323 Olympia Dr
Homewood, AL 35209-3743

Phone 205-447-1886

Other practice locations

323 Olympia Dr
Homewood, AL 35209-3743

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