Organization
DIXIE NURSING CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSE M AMIS JR. PVT DUTY NURSING AG (OWNER)
(662) 563-1275
Entity
Organization
Contact information
Practice address
696 SILVER HILLS DR, SUITE 111, PRATTVILLE, AL 36066-6184
(334) 361-0195
(334) 361-0633
Mailing address
696 SILVER HILLS DR, SUITE 111, PRATTVILLE, AL 36066-6184
(334) 361-0195
(334) 361-0633
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121402
—
AL
05
—
PVT0013Z
—
AL
Enumeration date
02/22/2007
Last updated
08/26/2010
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