Provider Demographics
NPI:1124335930
Name:PROFESSIONAL SOLUTIONS, IN. DBA SOUTHERN HEALTHCARE PROVIDERS
Entity type:Organization
Organization Name:PROFESSIONAL SOLUTIONS, IN. DBA SOUTHERN HEALTHCARE PROVIDERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANGER
Authorized Official - Prefix:MS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SNOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-939-4122
Mailing Address - Street 1:2151 HIGHLAND AVE S STE 150
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-4017
Mailing Address - Country:US
Mailing Address - Phone:205-939-4122
Mailing Address - Fax:205-939-1616
Practice Address - Street 1:2151 HIGHLAND AVE S STE 150
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-4017
Practice Address - Country:US
Practice Address - Phone:205-939-4122
Practice Address - Fax:205-939-1616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-01
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL010210251J00000X
AL172834253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care