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Organization

BY YOUR SIDE HOME CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALESHA PATTON PRIDGEN (ADMINISTRATOR/OWNER)
(850) 372-4883
Entity
Organization

Contact information

Practice address
401 N FOSTER ST, DOTHAN, AL 36303-4554
(850) 372-4883
(850) 331-1583
Mailing address
3026 AUCTION DR, MARIANNA, FL 32448-7714
(850) 372-4883
(850) 331-1583

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
11/10/2022
Last updated
11/10/2022
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