Organization
ALPHA HOME MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY A MOSELEY (OWNER)
(334) 874-1183
Entity
Organization
Contact information
Practice address
2700 CITIZENS PKWY, SELMA, AL 36701-4013
(334) 874-1183
(334) 874-1184
Mailing address
2700 CITIZENS PKWY, SELMA, AL 36701-4013
(334) 874-1183
(334) 874-1184
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
639
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51528398
BCBS OF AL PROVIDER
AL
Enumeration date
12/19/2006
Last updated
08/22/2020
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