Organization
COMMUNITYCARE MEDICARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JATANA MARIE SMITH (MANAGING MEMBER)
(256) 761-1241
Entity
Organization
Contact information
Practice address
7734 MADISON BLVD STE 126, HUNTSVILLE, AL 35806-2385
(256) 762-1241
Mailing address
7734 MADISON BLVD STE 126, HUNTSVILLE, AL 35806-2385
(256) 762-1241
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/04/2025
Last updated
10/04/2025
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