Organization
BRAGWELL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN BRAGWELL LPC (DIRECTOR)
(256) 627-1493
Entity
Organization
Contact information
Practice address
351 HIGHWAY 64, KILLEN, AL 35645-4829
(256) 627-1493
Mailing address
165 RIDGECREST DR, FLORENCE, AL 35634-2401
(256) 627-1493
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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