State of Alabama Department of Public Health

Practice location

Address

811 Liberty Hill Dr, Evergreen, AL 36401-2648

Phone

(251) 578-5265

Fax

(251) 578-5679

Mailing address

201 Monroe St The Rsa Tower, Suite 1200, Montgomery, AL 36104-3735

Authorised official

Name

Grover T Wedgeworth

Title

State Home Care Director

Phone

(334) 206-5341

Registered specialties

Registry record

NPI

1033298930

Entity type

Organization

NPI issued

3 Nov 2006

Record last updated

13 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.