Organization
A FRESH START, L.L.C.
Active
Organization
A FRESH START, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE PEPPERS BOC (OWNER)
(256) 891-4030
Entity
Organization
Contact information
Practice address
123 SAND MOUNTAIN DR NE, ALBERTVILLE, AL 35950-1709
(256) 891-4030
(256) 894-4433
Mailing address
123 SAND MOUNTAIN DR NE, ALBERTVILLE, AL 35950-1709
(256) 891-4030
(256) 894-4433
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009941647
—
AL
Enumeration date
08/05/2006
Last updated
04/20/2010
Update your record
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