Organization
GENEVA COUNTY HEALTHCARE AUTHORITY, INC.
Active
Other names
LIFETIME HEALTH SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES A FAULKNER (CEO)
(334) 684-3655
Entity
Organization
Contact information
Practice address
1200 W MAPLE AVE, GENEVA, AL 36340-1642
(334) 684-3655
(334) 684-6564
Mailing address
1200 W MAPLE AVE, GENEVA, AL 36340-1642
(334) 684-3655
(334) 684-6564
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
7006
AL
Other
Enumeration date
02/20/2007
Last updated
01/09/2012
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