Organization
LAMAR HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON CRAWFORD (ADMINISTRATOR)
(205) 695-6736
Entity
Organization
Contact information
Practice address
131 1ST AVE. NW, SUITE B, VERNON, AL 35592
(205) 695-6736
(205) 695-6764
Mailing address
PO BOX 547, 131 1ST AVENUE NW, SUITE B, VERNON, AL 35592-0547
(205) 695-6736
(205) 695-6764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01000725
BLUE CROSS BLUE SHIELD ID
AL
05
—
LAM7079
—
AL
Enumeration date
02/09/2007
Last updated
03/30/2009
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