Organization
MUSTARD SEED COMPANION CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWANDA PRESTAGE R.N. (OWNER/DIRECTOR)
(205) 604-9184
Entity
Organization
Contact information
Practice address
702 STEVENS RD, BUTLER, AL 36904-2151
(205) 604-9184
Mailing address
3370 HWY 156, PENNINGTON, AL 36916
(205) 604-9184
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1-084006
AL
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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