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Organization
ALABAMA HOME RESPIRATORY INC
Active
Organization
ALABAMA HOME RESPIRATORY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONJA JOCKISCH-DAVIS CRT (PRESIDENT/ RESPIRATORY THERAPIST)
(334) 624-0511
Entity
Organization
Contact information
Practice address
1207 MAIN ST, GREENSBORO, AL 36744-1502
(334) 624-0511
(334) 624-0509
Mailing address
1207 MAIN ST, GREENSBORO, AL 36744-1502
(334) 624-0511
(334) 624-0509
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
692
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009600290
—
AL
01
—
510 50306
BLUE CROSS BLUE SHIELD
AL
Enumeration date
03/29/2007
Last updated
10/08/2009
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