Organization
SOUTHCARE MEDICAL FACILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDE ERNEST LEE (VP/SEC-TRESURY)
(205) 391-3600
Entity
Organization
Contact information
Practice address
961 FAIRFAX PARK, TUSCALOOSA, AL 35406-2805
(205) 345-8858
(205) 345-7991
Mailing address
961 FAIRFAX PARK, TUSCALOOSA, AL 35406-2805
(205) 345-8858
(205) 345-7991
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
AL
Other
Enumeration date
09/13/2006
Last updated
09/11/2025
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