Organization Name: | MBRL |
NPI Number: | 1013326347 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALBERT D HERBERT (OWNER) |
Mailing Address: | 600 Boulevard South Sw Suite #104 Huntsville |
State: | AL US |
Postal Code: | 358022113 |
Phone Number: | 2567630855 |
Fax Number: | 2562179338 |
NPI Enumeration Date: | 08/12/2014 |
NPI Last Update Date: | 08/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 1816 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |