Provider Demographics
NPI:1326792870
Name:HOMESTEAD HEARING
Entity Type:Organization
Organization Name:HOMESTEAD HEARING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:CRESAWN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:334-748-8254
Mailing Address - Street 1:2245 SPRINGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-7231
Mailing Address - Country:US
Mailing Address - Phone:334-748-8254
Mailing Address - Fax:
Practice Address - Street 1:2245 SPRINGWOOD DR
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-7231
Practice Address - Country:US
Practice Address - Phone:334-748-8254
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty