Provider Demographics
NPI:1003631318
Name:MY CARE ALABAMA CENTRAL, INC.
Entity type:Organization
Organization Name:MY CARE ALABAMA CENTRAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PRESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:REBMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-220-1820
Mailing Address - Street 1:375 RIVERCHASE PKWY E
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-1814
Mailing Address - Country:US
Mailing Address - Phone:205-220-1820
Mailing Address - Fax:
Practice Address - Street 1:4465 PARK BLVD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-1635
Practice Address - Country:US
Practice Address - Phone:855-288-8361
Practice Address - Fax:205-402-9217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management