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Organization

LIFECARE OF ALABAMA, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN CLINGMAN BANKS (DIRECTOR)
(256) 773-6035
Entity
Organization

Contact information

Practice address
532 SPARKMAN ST SW, HARTSELLE, AL 35640-3120
(256) 773-6035
(256) 751-4805
Mailing address
PO BOX 1105, HARTSELLE, AL 35640-1105
(256) 773-6035
(256) 751-4855

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
806
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
510-91197
BLUE CROSS BLUE SHIELD
AL
01
515-51761
BLUE CROSS BLUE SHIELD
AL
Enumeration date
08/15/2006
Last updated
04/20/2008
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