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Organization
ATIA HEALTHCARE PROFESSIONALS
Active
Organization
ATIA HEALTHCARE PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMELETHA FORD (CEO)
(256) 346-1920
Entity
Organization
Contact information
Practice address
105 COOSA PINES DR, CHILDERSBURG, AL 35044-1303
(256) 346-1920
Mailing address
113 SITTON CIR, STERRETT, AL 35147-4500
(256) 346-1920
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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