Organization
MID-SOUTH HOME HEALTH, LLC
Active
Other names
CENTERWELL HOME HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(205) 755-9926
Entity
Organization
Contact information
Practice address
118 6TH ST S, CLANTON, AL 35045-3540
(205) 755-9926
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113425
—
AL
Enumeration date
10/08/2008
Last updated
09/02/2022
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