Organization
WIREGRASS HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THAD S JOHNSON (OWNER)
(334) 797-9349
Entity
Organization
Contact information
Practice address
172 HONEYSUCKLE RD STE 2, DOTHAN, AL 36305-1262
(334) 797-9349
(334) 610-3500
Mailing address
172 HONEYSUCKLE RD STE 2, DOTHAN, AL 36305-1262
(334) 797-9349
(334) 610-3500
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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