Northeast Alabama Homecare Llc | |
4171 Al Highway 71 Dutton AL 35744-8547 | |
(256) 630-0218 | |
Not Available |
Full Name | Northeast Alabama Homecare Llc |
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Speciality | Family Medicine |
Location | 4171 Al Highway 71, Dutton, Alabama |
Authorized Official Name and Position | Amanda Law Foshee (OWNER) |
Authorized Official Contact | 2568339001 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Northeast Alabama Homecare Llc Po Box 252 Dutton AL 35744-0252 Ph: () - | Northeast Alabama Homecare Llc 4171 Al Highway 71 Dutton AL 35744-8547 Ph: (256) 630-0218 |
NPI Number | 1669136081 |
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Provider Enumeration Date | 10/22/2021 |
Last Update Date | 12/29/2023 |
Medicare PECOS PAC ID | 1254722739 |
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Medicare Enrollment ID | O20211216000856 |
Identifier | Type | State | Issuer |
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1669136081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Amanda L Foshee |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487945309 PECOS PAC ID: 5597082347 Enrollment ID: I20150421001610 |
Highlands Family Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7655 Alabama Hwy 71, Dutton, AL 35744 Phone: 256-657-2025 Fax: 256-657-2028 |