Organization Name: | SOUTH BUTLER MEDICAL SERVICES LLC |
NPI Number: | 1699028357 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HARRY NMI COLE (ADMINISTRATOR) |
Mailing Address: | 435 Meeting Street Georgiana |
State: | AL US |
Postal Code: | 360330723 |
Phone Number: | 3343762286 |
Fax Number: | 3343763661 |
NPI Enumeration Date: | 10/18/2012 |
NPI Last Update Date: | 10/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |