Organization
WHITEHURST COMPANION CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN VICTOR WHITEHURST (OWNER)
(334) 435-8576
Entity
Organization
Contact information
Practice address
545 W MAIN ST, SUITE 100 -105, DOTHAN, AL 36301-1654
(334) 435-8576
Mailing address
545 W MAIN ST, SUITE 100 -105, DOTHAN, AL 36301-1654
(334) 435-8576
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/11/2012
Last updated
05/09/2012
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