Organization
LA FARR DOLCE VITA, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANIE BETH HICKS (OWNER/DIRECTOR)
(360) 977-0784
Entity
Organization
Contact information
Practice address
3776 SULLIVAN ST, SUITE 1, MADISON, AL 35758-2371
(256) 278-4046
Mailing address
3766 SULLIVAN STREET, SUITE 1, MADISON, AL 35758
(256) 278-4046
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
AL
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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