Civil Assist Patient Care Services
In Home Supportive Care in Valley, AL. Organization (NPI-2).
NPI number1710675475
StatusActive
Last updated in NPPESApr 29, 2023
Details
- NPI
- 1710675475
- Entity type
- Organization (NPI-2)
- Legal business name
- Civil Assist Patient Care Services
- Organization subpart
- No
- Enumeration date
- Apr 28, 2023
- Certification date
- Apr 29, 2023
- Last updated
- Apr 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 347E00000X | Transportation Broker | – | – |
Practice location
105 Walnut StValley, AL 36854-4240
Phone 312-684-6020
Mailing address
1067 Johnson LnValley, AL 36854-5523
Phone 312-684-6020
Authorized official
Antwan Carter
President
3126846020
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