Organization
SUNCREST HOME HEALTH OF AL, INC.
Active
Other names
SunCrest Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS GACHASSIN III (SECRETARY/TREASURER)
(337) 233-1307
Entity
Organization
Contact information
Practice address
222 7TH ST S, CLANTON, AL 35045-3704
(205) 280-4663
(205) 280-3489
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124091
—
AL
Enumeration date
08/06/2009
Last updated
07/28/2020
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