Provider Demographics
NPI:1346554482
Name:WEAVER CRF INC.
Entity Type:Organization
Organization Name:WEAVER CRF INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:WEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-657-2750
Mailing Address - Street 1:6601 HIBISCUS LN
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35473-5710
Mailing Address - Country:US
Mailing Address - Phone:205-657-2750
Mailing Address - Fax:205-339-8275
Practice Address - Street 1:1701 30TH AVE
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35476-3789
Practice Address - Country:US
Practice Address - Phone:205-345-9225
Practice Address - Fax:205-345-9225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-30
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care