Organization
IT'S ADONAI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RETHEMIOUS RENEE LYNN RN (CHIEF EXECUTIVE OFFICER)
12567973113
Entity
Organization
Contact information
Practice address
2813 WASHINGTON ST NW, HUNTSVILLE, AL 35811-1639
(256) 797-3113
Mailing address
2813 WASHINGTON ST NW, HUNTSVILLE, AL 35811-1639
(256) 797-3113
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
1-139627
AL
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
1-139627
AL
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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