Provider Demographics
NPI:1891993465
Name:AMEDISYS HOME HEALTHCARE OF TUSCALOOSA
Entity Type:Organization
Organization Name:AMEDISYS HOME HEALTHCARE OF TUSCALOOSA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCOOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-752-0606
Mailing Address - Street 1:1300 MCFARLAND BLVD NE STE 320
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-2282
Mailing Address - Country:US
Mailing Address - Phone:205-752-0606
Mailing Address - Fax:205-758-5244
Practice Address - Street 1:1300 MCFARLAND BLVD NE STE 320
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-2282
Practice Address - Country:US
Practice Address - Phone:205-752-0606
Practice Address - Fax:205-758-5244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH1923251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health