Organization
PRIVATE DUTY NURSING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRY A STANDRIDGE (ACCOUNTING MANAGER)
(256) 355-1811
Entity
Organization
Contact information
Practice address
317 W STATE ST, MUSCLE SHOALS, AL 35661-2835
(256) 355-1811
Mailing address
317 W STATE ST, MUSCLE SHOALS, AL 35661-2835
(256) 355-1811
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
04825
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PVT0069Z
—
AL
Enumeration date
04/14/2008
Last updated
04/14/2008
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