Provider Demographics
NPI:1851500276
Name:AMEDISYS
Entity Type:Organization
Organization Name:AMEDISYS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DAPHNE
Authorized Official - Middle Name:P
Authorized Official - Last Name:DAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:MCD,CCC-SLP
Authorized Official - Phone:334-272-0313
Mailing Address - Street 1:300 INTERSTATE PARK DR
Mailing Address - Street 2:SUITE 324
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36109-5427
Mailing Address - Country:US
Mailing Address - Phone:334-272-0313
Mailing Address - Fax:
Practice Address - Street 1:300 INTERSTATE PARK DR
Practice Address - Street 2:SUITE 324
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36109-5427
Practice Address - Country:US
Practice Address - Phone:334-272-0313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2295251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL=========OtherEIN