Provider Demographics
NPI:1477197465
Name:CBC HEALTHCARE, LLC
Entity Type:Organization
Organization Name:CBC HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CLAUDE
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:CAMP
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:334-446-0676
Mailing Address - Street 1:3201 MONTGOMERY HWY STE 9
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36303-2113
Mailing Address - Country:US
Mailing Address - Phone:334-446-0676
Mailing Address - Fax:334-828-7196
Practice Address - Street 1:3201 MONTGOMERY HWY STE 9
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36303-2113
Practice Address - Country:US
Practice Address - Phone:334-446-0676
Practice Address - Fax:334-828-7196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-01
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health