Organization
HYDRATION BAR LLC
Active
Other names
Primary Hydration
Organization subpart
No
Provider details
NPI number
Authorized official
SAKEENA RENA SPENCER NP (OWNER)
(205) 215-7926
Entity
Organization
Contact information
Practice address
1214 MAIN ST STE A, GARDENDALE, AL 35071-2494
(205) 285-3766
(205) 270-4989
Mailing address
426 W PARK DR, FULTONDALE, AL 35068-6075
(205) 215-7926
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2021
Last updated
07/03/2024
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