Organization
AVESTA CARE MEDICAL STAFFING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA MITCHELL LPN (OWNER)
(334) 316-5080
Entity
Organization
Contact information
Practice address
5853 BREWBAKER BLVD, MONTGOMERY, AL 36116
(334) 316-5080
Mailing address
5853 BREWBAKER BLVD, MONTGOMERY, AL 36116-4259
(334) 316-5080
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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