Organization
FOUR SEASONS HEALTHCARE GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN HUMPHREY (CEO)
(334) 320-5305
Entity
Organization
Contact information
Practice address
500 INTERSTATE PARK DRIVE, SUITE 534, MONTGOMERY, AL 36109
(334) 777-1274
Mailing address
500 INTERSTATE PARK DR STE 534, MONTGOMERY, AL 36109-5434
(334) 777-1274
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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