Provider Demographics
NPI:1740548171
Name:CANDI L HAYES
Entity type:Organization
Organization Name:CANDI L HAYES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CANDI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-612-1685
Mailing Address - Street 1:301 NELSON HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35670-5703
Mailing Address - Country:US
Mailing Address - Phone:256-612-1685
Mailing Address - Fax:256-773-8043
Practice Address - Street 1:301 NELSON HOLLOW RD
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:AL
Practice Address - Zip Code:35670-5703
Practice Address - Country:US
Practice Address - Phone:256-612-1685
Practice Address - Fax:256-773-8043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-23
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance