Organization
WIREGRASS REHABILITATION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN HICKS (MANAGING DIRECTOR)
(334) 792-0022
Entity
Organization
Contact information
Practice address
795 ROSS CLARK CIR STE 1, DOTHAN, AL 36303-5306
(334) 792-0022
Mailing address
795 ROSS CLARK CIR STE 1, DOTHAN, AL 36303-5306
(334) 792-0022
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/30/2021
Last updated
04/19/2021
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