Provider Demographics
NPI:1023383924
Name:RESPITE CARE FOUNDATION
Entity Type:Organization
Organization Name:RESPITE CARE FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARCELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:334-262-3002
Mailing Address - Street 1:300 WATER ST
Mailing Address - Street 2:SUITE 311
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36104-2501
Mailing Address - Country:US
Mailing Address - Phone:334-262-3002
Mailing Address - Fax:334-262-3036
Practice Address - Street 1:300 WATER ST
Practice Address - Street 2:SUITE 311
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36104-2501
Practice Address - Country:US
Practice Address - Phone:334-262-3002
Practice Address - Fax:334-262-3036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-12
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care