Organization
ENRICHED LIVING HEALTHCARE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD JOHANNES RN (DIRECTOR)
(256) 288-6609
Entity
Organization
Contact information
Practice address
340 GILLESPIE RD APT 179, MADISON, AL 35758-7007
(256) 288-6609
Mailing address
340 GILLESPIE RD APT 179, MADISON, AL 35758-7007
(256) 288-6609
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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