Organization
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Active
Other names
Jefferson County Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
GROVER T WEDGEWORTH (STATE HOME CARE DIRECTOR)
(334) 206-5341
Entity
Organization
Contact information
Practice address
1400 6TH AVE S, BIRMINGHAM, AL 35233-1502
(205) 930-1330
(205) 930-1390
Mailing address
201 MONROE ST, THE RSA TOWER, SUITE 1200, MONTGOMERY, AL 36104-3735
(334) 206-5341
(334) 206-5724
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
JEF7008A
—
AL
Enumeration date
08/01/2007
Last updated
08/01/2007
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