Individual
CARMELETHA FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 COOSA PINES DR STE 5, CHILDERSBURG, AL 35044-1303
(256) 346-1920
Mailing address
105 COOSA PINES DR STE 5, CHILDERSBURG, AL 35044-1303
(256) 346-1920
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374700000X
Technician
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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