Organization
SEASONS HEALTH CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH JEAN WAGNER CRNP (MSN, RN, ANP BC, GNP BC, CNOR)
(334) 714-6931
Entity
Organization
Contact information
Practice address
3011 AUGUSTA TRCE SE, HAMPTON COVE, AL 35763-9319
(334) 714-6931
Mailing address
3011 AUGUSTA TRCE SE, HAMPTON COVE, AL 35763-9319
(334) 714-6931
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1 039213
AL
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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