Organization
PROFESSIONAL HEALTH CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA J WELLS (VP)
(205) 221-8258
Entity
Organization
Contact information
Practice address
14965 STATE HIGHWAY 59 STE 102, FOLEY, AL 36535-2471
(251) 928-4922
Mailing address
14965 STATE HIGHWAY 59 STE 102, FOLEY, AL 36535-2471
(251) 928-4922
(251) 928-4990
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6714
AL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
6714
AL
332BX2000X
Oxygen Equipment & Supplies (DME)
900048
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000056323
—
AL
01
—
51596001
BLUE CROSS BLUE SHIELD
AL
01
—
56323
BLUE CROSS BLUE SHIELD
AL
Enumeration date
06/01/2005
Last updated
11/22/2024
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