Provider Demographics
NPI:1174866438
Name:ALABAMA MEDICAL AND SENIOR SERVICES, LLC
Entity Type:Organization
Organization Name:ALABAMA MEDICAL AND SENIOR SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDSEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPN, AALA
Authorized Official - Phone:256-221-9864
Mailing Address - Street 1:838 LEE RD
Mailing Address - Street 2:
Mailing Address - City:HARTSELLE
Mailing Address - State:AL
Mailing Address - Zip Code:35640-6145
Mailing Address - Country:US
Mailing Address - Phone:256-784-5406
Mailing Address - Fax:256-784-5406
Practice Address - Street 1:838 LEE RD
Practice Address - Street 2:
Practice Address - City:HARTSELLE
Practice Address - State:AL
Practice Address - Zip Code:35640-6145
Practice Address - Country:US
Practice Address - Phone:256-784-5406
Practice Address - Fax:256-784-5406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-04
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2-053812251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health