Organization
STANTON'S HOMECARE
Active
Organization
STANTON'S HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEMPESTT O STANTON (OWNER/SUPERVISOR)
(251) 366-7366
Entity
Organization
Contact information
Practice address
10371 CROSSLEY HILL DR, GRAND BAY, AL 36541-3207
(251) 366-7366
Mailing address
10371 CROSSLEY HILL DR., GRANDBAY, AL 36541
(251) 366-7366
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
101581
AL
305R00000X
Preferred Provider Organization
101581
AL
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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