Organization
SACRED HEART HEALTH SYSTEM, INC.
Active
Other names
Sacred Heart Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONSTANCE HETTERICH R.N. (ADMINISTRATOR)
(850) 470-9288
Entity
Organization
Contact information
Practice address
6701 AIRPORT BLVD, SUITE 143, MOBILE, AL 36608-6705
(850) 470-9288
(850) 470-9130
Mailing address
6701 AIRPORT BLVD, SUITE 143, MOBILE, AL 36608-6705
(850) 470-9288
(850) 470-9130
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2006-004168
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02078367
—
MS
01
—
51503539
BCBS AL - DME
FL
01
—
8200162
UNITED HEALTH CARE
FL
Enumeration date
01/19/2007
Last updated
08/22/2020
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