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Organization

SHELIA JACKSON

Active
Other names
ARIEL HOME MEDICAL
Organization subpart
No

Provider details

NPI number
Authorized official
SHELIA D JACKSON (OWNER)
(334) 612-2100
Entity
Organization

Contact information

Practice address
5646 BELL RD, MONTGOMERY, AL 36116-4118
(334) 612-2100
(334) 612-2148
Mailing address
5646 BELL RD, MONTGOMERY, AL 36116-4118
(334) 612-2100
(334) 612-2148

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
749
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009910338
AL
01
51539790
BLUECROSS BLUESHEILD
AL
Enumeration date
09/10/2007
Last updated
06/11/2012
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