# MOBILE PICC SPECIALISTS

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

## Provider details

- **NPI number:** 1568863785
- **Authorized official:** MS. JACQUELINE WEBB RN (PHLEBOTOMY)
- **Authorized official phone:** (888) 550-6130

## Contact information

- **Practice address:** 39 ASHWOOD RD, BUTLER, AL 36904-2860
- **Practice address phone:** (888) 550-6130
- **Practice address fax:** (888) 550-8390
- **Mailing address:** 39 ASHWOOD RD, BUTLER, AL 36904-2860
- **Mailing address phone:** (888) 550-6130
- **Mailing address fax:** (888) 550-8390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 1-106108 | AL | Yes |

## Other

- **Enumeration date:** 09/07/2014
- **Last updated:** 09/07/2014