Organization
USA HEALTHCARE LTC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HANNAH BROWN (AMINISTRATOR)
(256) 739-4409
Entity
Organization
Contact information
Practice address
401 ARNOLD ST NE, CULLMAN, AL 35055-1967
(256) 739-4409
(256) 739-4878
Mailing address
401 ARNOLD ST NE, CULLMAN, AL 35055-1967
(256) 739-4409
(256) 739-4878
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
10685
AL
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
10685
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011223
BCBS PROVIDER NUMBER
AL
Enumeration date
06/24/2005
Last updated
06/09/2014
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