Organization
AT HOME INDEPENDENT LIVING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY JOE DENT (PRESIDENT)
(205) 242-3962
Entity
Organization
Contact information
Practice address
4004 41ST ST, NORTHPORT, AL 35473-2308
(205) 242-3962
(205) 344-6955
Mailing address
1112 38TH ST, TUSCALOOSA, AL 35401-7075
(205) 242-3962
(205) 344-6955
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/13/2013
Last updated
01/13/2013
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