Organization
AMERICAN FAMILY CARE, LLC
Active
Parent organization
AMERICAN FAMILY CARE, LLC
Other names
American Family Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERICAN FAMILY CARE, LLC
Authorized official
RANDY JOHANSEN (PRESIDENT)
(205) 403-8902
Entity
Organization
Contact information
Practice address
606 BOLL WEEVIL CIR, A, ENTERPRISE, AL 36330-2734
(334) 475-2462
(334) 475-2466
Mailing address
3700 CAHABA BEACH RD, BIRMINGHAM, AL 35242-5225
(205) 403-8902
(205) 421-2109
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C417
MEDICARE PTAN#
AL
Enumeration date
10/12/2015
Last updated
04/24/2024
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