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Organization

UNIVERSITY OF SOUTH ALABAMA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT K. DAVIS (ASSOC VP/CONTRACT OFFICER)
(251) 414-8297
Entity
Organization

Contact information

Practice address
307 UNIVERSITY BLVD N, RESEARCH TECH PARK BUILDING 3/SUITE 1100, MOBILE, AL 36688-0002
(251) 461-1805
Mailing address
307 UNIVERSITY DRIVE, MOBILE, AL 36688-0002
(251) 461-1805

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AL

Other

Enumeration date
03/12/2008
Last updated
07/21/2022
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