NPI 1114406402

One Forty Three Ventures

Organisation In Home Supportive Care Agency Montgomery, AL

Practice location

Address: 7121 Halcyon Park Dr, Montgomery, AL 36117-7702
Phone: (334) 320-8035
Fax: (334) 517-1045

Authorised official

Name: Susan Ezell
Title: Owner
Phone: (334) 320-8035

Registered specialties

In Home Supportive Care Agency Primary

Agencies Taxonomy 253Z00000X

Other In Home Supportive Care providers in Alabama →

Registry record

NPI: 1114406402
Entity type: Organization
NPI issued: 8 Aug 2018
Record last updated: 8 Aug 2018

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.