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Organization
TRIAD OF ALABAMA LLC
Active
Organization
TRIAD OF ALABAMA LLC
Active
Parent organization
TRIAD OF ALABAMA LLC
Other names
Breathing Care Associates - Panama City
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRIAD OF ALABAMA LLC
Authorized official
DEBBIE BREWER (DIRECTOR, PROVIDER ENROLLMENT)
(615) 465-7626
Entity
Organization
Contact information
Practice address
2423 MARTIN LUTHER KING JR BLVD, PANAMA CITY, FL 32405-4405
(334) 794-5000
Mailing address
PO BOX 1964, DOTHAN, AL 36302-1964
(334) 794-5000
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
782
AL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
782
AL
Other
Enumeration date
05/16/2006
Last updated
04/14/2009
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