Provider Demographics
NPI:1376695130
Name:A & L HOME CARE AND TRAINING CENTER, LLC
Entity Type:Organization
Organization Name:A & L HOME CARE AND TRAINING CENTER, LLC
Other - Org Name:A & L HOME CARE & TRAINING CENTER, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAWNETTA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ABBETT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:740-886-7623
Mailing Address - Street 1:P.O. BOX 1010
Mailing Address - Street 2:
Mailing Address - City:PROCTORVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45669
Mailing Address - Country:US
Mailing Address - Phone:740-886-7623
Mailing Address - Fax:740-886-7625
Practice Address - Street 1:6129 COUNTY ROAD 107
Practice Address - Street 2:
Practice Address - City:PROCTORVILLE
Practice Address - State:OH
Practice Address - Zip Code:45669
Practice Address - Country:US
Practice Address - Phone:740-886-7623
Practice Address - Fax:740-886-7625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2623218Medicaid
OH2623218Medicaid