Organization
HOME & RESPITE PRIVATE DUTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LASONIA RECHAE SAMS (EXECUTIVE DIRECTOR)
(256) 517-7979
Entity
Organization
Contact information
Practice address
912 WINCHESTER RD NE, #4, HUNTSVILLE, AL 35811-1047
(256) 517-7979
(256) 401-9526
Mailing address
912 WINCHESTER RD NE, #4, HUNTSVILLE, AL 35811-1047
(256) 517-7979
(256) 401-9526
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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