Provider Demographics
NPI:1710113055
Name:ELDERCARE OF NORTH ALABAMA, LLC
Entity Type:Organization
Organization Name:ELDERCARE OF NORTH ALABAMA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TONA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-351-6565
Mailing Address - Street 1:1414 7TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-4255
Mailing Address - Country:US
Mailing Address - Phone:256-351-6565
Mailing Address - Fax:256-560-0198
Practice Address - Street 1:1414 7TH AVE SE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-4255
Practice Address - Country:US
Practice Address - Phone:256-351-6565
Practice Address - Fax:256-560-0198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-01
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health