Organization
TRIAD OF ALABAMA LLC
Active
Organization
TRIAD OF ALABAMA LLC
Active
Parent organization
TRIAD OF ALABAMA LLC
Other names
Breathing Care Associates - Dothan
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRIAD OF ALABAMA LLC
Authorized official
DEBBIE BREWER (DIRECTOR, PROVIDER ENROLLMENT)
(615) 465-7626
Entity
Organization
Contact information
Practice address
119 S WOODBURN DR, SUITE 1, DOTHAN, AL 36305-1050
(334) 793-9674
Mailing address
PO BOX 1964, DOTHAN, AL 36302-1964
(334) 793-9674
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
8889
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000494183A
—
GA
05
—
009940105
—
AL
Enumeration date
05/17/2006
Last updated
04/14/2009
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