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Organization
IMPERIAL PRIMARY HEALTH & HOME CARE SERVICES, LLC
Active
Organization
IMPERIAL PRIMARY HEALTH & HOME CARE SERVICES, LLC
Active
Other names
Imperial Health & Home Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMESHIA D BUSH-TAYLOR CRNP (NURSE PRACTITIONER)
(251) 654-7453
Entity
Organization
Contact information
Practice address
451 S BROAD ST, MOBILE, AL 36603-1121
(251) 654-7453
(251) 380-6973
Mailing address
451 S BROAD ST, MOBILE, AL 36603-1121
(251) 654-7453
(251) 380-6973
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
376J00000X
Homemaker
Primary
1-081016
AL
385H00000X
Respite Care
—
—
Other
Enumeration date
09/06/2018
Last updated
10/26/2022
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