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Organization
METHODIST HOME FOR THE AGING
Active
Organization
METHODIST HOME FOR THE AGING
Active
Other names
Fair Haven Oral Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA LAWLER (VP, DIRECTOR OF ADMINISTRATIVE SERV)
(205) 731-3115
Entity
Organization
Contact information
Practice address
1424 MONTCLAIR RD, IRONDALE, AL 35210-2208
(205) 951-1473
Mailing address
1424 MONTCLAIR RD, IRONDALE, AL 35210-2208
(205) 951-1473
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
10/07/2024
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