NPI 1316027089

State of Alabama Department of Public Health

Organisation Home Health Agency Evergreen, AL

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

Home Health Agency Primary

Agencies Taxonomy 251E00000X

Other Home Health providers in Alabama →

Registry record

NPI: 1316027089
Entity type: Organization
NPI issued: 17 Oct 2006
Record last updated: 15 Oct 2009

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.