Individual
TAKITA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
323 OLYMPIA DR, HOMEWOOD, AL 35209-3743
(205) 447-1886
Mailing address
323 OLYMPIA DR, HOMEWOOD, AL 35209-3743
(205) 447-1886
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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