Provider Demographics
NPI:1639947385
Name:BB INSTITUTE AL LLC
Entity Type:Organization
Organization Name:BB INSTITUTE AL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIONE
Authorized Official - Middle Name:
Authorized Official - Last Name:COWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-268-9838
Mailing Address - Street 1:3232 S CLIFTON AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67216-2718
Mailing Address - Country:US
Mailing Address - Phone:334-268-9838
Mailing Address - Fax:
Practice Address - Street 1:8312 AL HIGHWAY 87 LOT 547
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36079-5390
Practice Address - Country:US
Practice Address - Phone:334-268-9838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health