Organization
FOUR SEASONS MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE TAYLOR (BILLER)
(205) 428-0147
Entity
Organization
Contact information
Practice address
4201 BESSEMER SUPER HWY, BESSEMER, AL 35020-2412
(205) 428-0147
(205) 425-7231
Mailing address
4201 BESSEMER SUPER HWY, BESSEMER, AL 35020-2412
(205) 428-0147
(205) 425-7231
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
06015325
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009933183
—
AL
Enumeration date
08/31/2006
Last updated
11/10/2009
Update your record
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