Organization
AMERICAN FAMILY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY JOHANSEN (PRESIDENT)
(205) 403-8902
Entity
Organization
Contact information
Practice address
1965 COBBS FORD RD, PRATTVILLE, AL 36066-7290
(334) 361-7054
(334) 361-8750
Mailing address
1965 COBBS FORD RD, PRATTVILLE, AL 36066-7290
(334) 361-7054
(334) 361-8750
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
1-138779
AL
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529202590
—
AL
Enumeration date
02/20/2017
Last updated
04/24/2024
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