Organization
DIVERSIFIED HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KERRI ELLEN GREGORY (OWNER)
(251) 533-4651
Entity
Organization
Contact information
Practice address
19973 STATE HIGHWAY 181, FAIRHOPE, AL 36532-4842
(251) 533-4651
Mailing address
19973 STATE HIGHWAY 181, FAIRHOPE, AL 36532-4842
(251) 533-4651
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
73848
AL
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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