| At Home Independent Living Inc. | |
|
4004 41st St Northport AL 35473-2308 | |
| (205) 242-3962 | |
| (205) 344-6955 |
| Full Name | At Home Independent Living Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4004 41st St, Northport, Alabama |
| Authorized Official Name and Position | Terry Joe Dent (PRESIDENT) |
| Authorized Official Contact | 2052423962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| At Home Independent Living Inc. 1112 38th St Tuscaloosa AL 35401-7075 Ph: (205) 242-3962 | At Home Independent Living Inc. 4004 41st St Northport AL 35473-2308 Ph: (205) 242-3962 |
| NPI Number | 1871830646 |
|---|---|
| Provider Enumeration Date | 01/13/2013 |
| Last Update Date | 01/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871830646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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