Organization
SPECIAL PROFESSIONAL H/C SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBBECCA DAVIS GOTHWRIGHT (ADMINISTRATOR/CEO)
(205) 535-7074
Entity
Organization
Contact information
Practice address
2214 3RD AVE N, 102, BIRMINGHAM, AL 35203-3822
(205) 538-7074
(205) 538-5755
Mailing address
2214 3RD AVENUE NORTH, 102, BIRMINGHAM, AL 35203-3829
(205) 538-7074
(205) 538-5755
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
15004490
AL
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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