Organization
GENTIVA HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BROWN (PHYSICAL THERAPIST)
(205) 945-4859
Entity
Organization
Contact information
Practice address
631 BEACON PKWY W STE 110, BIRMINGHAM, AL 35209-3130
(205) 945-4859
(205) 943-8527
Mailing address
631 BEACON PKWY W STE 110, BIRMINGHAM, AL 35209-3130
(205) 945-4859
(205) 943-8527
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PTH3241
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51518571
PIN NUMBER
AL
Enumeration date
01/02/2007
Last updated
08/22/2020
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