Organization
SOUTHERN RURAL HEALTH CARE CONSORTIUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KATHY HALL (EXECUTIVE DIRECTOR)
(256) 332-1631
Entity
Organization
Contact information
Practice address
508 SAINT CLAIR ST SE, RUSSELLVILLE, AL 35653-2720
(256) 332-1631
(256) 332-4600
Mailing address
PO BOX 970, RUSSELLVILLE, AL 35653-0970
(256) 332-1631
(256) 332-4600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SOU7017
—
AL
Enumeration date
08/10/2006
Last updated
10/24/2011
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