Organization
BEATITUDES ASSISTED LIVING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD JACKSON (DIRECTOR)
(205) 391-7998
Entity
Organization
Contact information
Practice address
2021 40TH AVE, TUSCALOOSA, AL 35401-3930
(120) 539-1799
Mailing address
2021 40TH AVE, TUSCALOOSA, AL 35401-3930
(205) 391-7998
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253Z00000X
—
AL
Enumeration date
12/14/2015
Last updated
12/14/2015
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