Organization
SOUTHEAST ALABAMA HOMECARE, LLC
Active
Other names
Southeast Alabama HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
1435 ROSS CLARK CIR STE 2, DOTHAN, AL 36301-4746
(334) 794-0591
(334) 793-6073
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113803
—
AL
Enumeration date
12/15/2008
Last updated
12/01/2020
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