Organization
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Active
Parent organization
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Other names
Winston County Home Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Authorized official
GROVER T WEDGEWORTH (STATE HOME CARE DIRECTOR)
(334) 206-5341
Entity
Organization
Contact information
Practice address
2324 14TH AVE, HALEYVILLE, AL 35565-1852
(205) 486-3159
(205) 486-3673
Mailing address
201 MONROE ST, THE RSA TOWER, SUITE 1200, MONTGOMERY, AL 36104-3735
(334) 206-5341
(334) 206-5724
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WIN9967A
BIOMONITORING PROVIDER #
AL
Enumeration date
11/07/2006
Last updated
07/27/2007
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