Organization
HOME & RESPITE PRIVATE DUTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASONIA R SAMS (ADMINISTRATOR)
(256) 517-7979
Entity
Organization
Contact information
Practice address
912 WINCHESTER RD NE # 4, HUNTSVILLE, AL 35811-1047
(256) 517-7979
(256) 401-9526
Mailing address
912 WINCHESTER RD NE # 4, HUNTSVILLE, AL 35811-1047
(256) 517-7979
(256) 401-9526
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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