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Organization
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Active
Organization
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Active
Other names
Jefferson County Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
GROVER T WEDGEWORTH RN, MPH (STATE HOME CARE DIRECTOR)
(334) 206-5341
Entity
Organization
Contact information
Practice address
1400 6TH AVE S, BIRMINGHAM, AL 35233-1502
(205) 930-1330
Mailing address
201 MONROE ST, THE RSA TOWER, SUITE 1200, MONTGOMERY, AL 36104-3735
(334) 206-5341
(334) 206-5985
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105626
—
AL
Enumeration date
09/16/2008
Last updated
10/22/2009
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