# LIFECARE OF ALABAMA, INC.

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

## Provider details

- **NPI number:** 1760595896
- **Authorized official:** SUSAN CLINGMAN BANKS (DIRECTOR)
- **Authorized official phone:** (256) 773-6035

## Contact information

- **Practice address:** 532 SPARKMAN ST SW, HARTSELLE, AL 35640-3120
- **Practice address phone:** (256) 773-6035
- **Practice address fax:** (256) 751-4805
- **Mailing address:** PO BOX 1105, HARTSELLE, AL 35640-1105
- **Mailing address phone:** (256) 773-6035
- **Mailing address fax:** (256) 751-4855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 806 | AL | Yes |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 510-91197 | BLUE CROSS BLUE SHIELD | AL |
| 01 | — | 515-51761 | BLUE CROSS BLUE SHIELD | AL |