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Individual

MRS. ROSETTER L GOMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
HOME CARE

Contact information

Practice address
203 W COMMERCE ST, HARTFORD, AL 36344-1604
(334) 588-0885
Mailing address
203 W COMMERCE ST, HARTFORD, AL 36344-1604
(334) 588-0885

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0071472
AL

Other

Enumeration date
05/22/2007
Last updated
07/08/2007
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