# BOAZ AND ALBERTVILLE FAMILY CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245827203
- **Authorized official:** MESSALINA JORDAN DO (OWNER)
- **Authorized official phone:** (205) 451-6711

## Contact information

- **Practice address:** 214 S MCCLESKEY ST STE 863, BOAZ, AL 35957-2187
- **Practice address phone:** (256) 849-0500
- **Practice address fax:** (339) 770-7908
- **Mailing address:** PO BOX 22, BOAZ, AL 35957-0022
- **Mailing address phone:** (256) 849-0500
- **Mailing address fax:** (256) 573-1021

## Taxonomy

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

## Other

- **Enumeration date:** 12/24/2020
- **Last updated:** 05/23/2025