# HYDRATION BAR LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Primary Hydration
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083384127
- **Authorized official:** SAKEENA RENA SPENCER NP (OWNER)
- **Authorized official phone:** (205) 215-7926

## Contact information

- **Practice address:** 1214 MAIN ST STE A, GARDENDALE, AL 35071-2494
- **Practice address phone:** (205) 285-3766
- **Practice address fax:** (205) 270-4989
- **Mailing address:** 426 W PARK DR, FULTONDALE, AL 35068-6075
- **Mailing address phone:** (205) 215-7926

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/20/2021
- **Last updated:** 07/03/2024