Provider Demographics
NPI:1417135724
Name:ALABAMA FAMILY HEALTH CARE. INC
Entity type:Organization
Organization Name:ALABAMA FAMILY HEALTH CARE. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:DEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-549-0001
Mailing Address - Street 1:307 S 5TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35901-4259
Mailing Address - Country:US
Mailing Address - Phone:256-549-0001
Mailing Address - Fax:256-549-1923
Practice Address - Street 1:307 S 5TH ST STE A
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-4259
Practice Address - Country:US
Practice Address - Phone:256-549-0001
Practice Address - Fax:256-549-1923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL144251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALPVT0006ZMedicaid