Organization
MODERN MEDICAL CONCEPTS HOMECARE, INC
Active
Other names
MMC HOMECARE
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH E KLEINKLAUS RPH (PHARMACIST)
(256) 442-5225
Entity
Organization
Contact information
Practice address
110 MMC PKWY, RAINBOW CITY, AL 35906-5852
(256) 442-5225
Mailing address
110 MMC PKWY, RAINBOW CITY, AL 35906-5852
(256) 442-5225
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
110743
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002839
—
AL
01
—
51044134
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
Enumeration date
05/09/2008
Last updated
05/09/2008
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