Care Bridge Providers
Home Health Aide in Vestavia Hills, AL. Organization (NPI-2).
NPI number1962069252
StatusActive
Last updated in NPPESMay 22, 2019
Details
- NPI
- 1962069252
- Entity type
- Organization (NPI-2)
- Legal business name
- Care Bridge Providers
- Organization subpart
- No
- Enumeration date
- May 22, 2019
- Last updated
- May 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Other names
- Amada Senior Care (Doing Business As)
Practice location
1025 Montgomery Hwy Ste 109Vestavia Hills, AL 35216-2856
Phone 205-208-9466 · Fax 295-208-9556
Mailing address
1025 Montgomery Hwy Ste 109Vestavia Hills, AL 35216-2856
Phone 205-208-9466 · Fax 295-208-9556
Authorized official
Matthew Domonic Petitti
President
2055855057
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