Organization
BRYAN RUSSELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN RUSSELL SR. RN (PRESIDENT)
(256) 326-4799
Entity
Organization
Contact information
Practice address
11009 LOUIS DR SE, HUNTSVILLE, AL 35803-1007
(256) 326-4799
Mailing address
11009 LOUIS DR SE, HUNTSVILLE, AL 35803-1007
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
1-138291
AL
Other
Enumeration date
09/07/2014
Last updated
09/07/2014
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