Provider Demographics
NPI:1952676355
Name:ALABAMA IN HOME ASSISTANCE
Entity Type:Organization
Organization Name:ALABAMA IN HOME ASSISTANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:DONNELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-734-6600
Mailing Address - Street 1:206 3RD ST SE
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055-3522
Mailing Address - Country:US
Mailing Address - Phone:256-734-6600
Mailing Address - Fax:256-734-6616
Practice Address - Street 1:206 3RD ST SE
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-3522
Practice Address - Country:US
Practice Address - Phone:256-734-6600
Practice Address - Fax:256-734-6616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-19
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL253Z00000X253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care