# MONTGOMERY HIGHLEY LIVING CENTER, LLC

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

## Provider details

- **NPI number:** 1295957066
- **Authorized official:** MR. RANDALL SPRADLIN (OWNER)
- **Authorized official phone:** (334) 215-0711

## Contact information

- **Practice address:** 7080 SYDNEY CURV, MONTGOMERY, AL 36117-3508
- **Practice address phone:** (334) 215-0711
- **Practice address fax:** (334) 215-0710
- **Mailing address:** 7080 SYDNEY CURV, MONTGOMERY, AL 36117-3508
- **Mailing address phone:** (334) 215-0711
- **Mailing address fax:** (334) 215-0710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/02/2007
- **Last updated:** 12/03/2007