Provider Demographics
NPI:1003101544
Name:NORTH ALABAMA COMMUNITY CARE, INC.
Entity Type:Organization
Organization Name:NORTH ALABAMA COMMUNITY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLETON
Authorized Official - Middle Name:HA
Authorized Official - Last Name:PYFROM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-534-8659
Mailing Address - Street 1:110 WALKER AVE NE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4739
Mailing Address - Country:US
Mailing Address - Phone:256-534-8659
Mailing Address - Fax:256-533-0276
Practice Address - Street 1:110 WALKER AVE NE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4739
Practice Address - Country:US
Practice Address - Phone:256-534-8659
Practice Address - Fax:256-533-0276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-13
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management