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Organization
LIFECARE OF ALABAMA, INC.
Active
Organization
LIFECARE OF ALABAMA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN CLINGMAN BANKS (DIRECTOR)
(256) 773-6035
Entity
Organization
Contact information
Practice address
532 SPARKMAN ST SW, HARTSELLE, AL 35640-3120
(256) 773-6035
(256) 751-4805
Mailing address
PO BOX 1105, HARTSELLE, AL 35640-1105
(256) 773-6035
(256) 751-4855
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
806
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-91197
BLUE CROSS BLUE SHIELD
AL
01
—
515-51761
BLUE CROSS BLUE SHIELD
AL
Enumeration date
08/15/2006
Last updated
04/20/2008
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