Organization Name: | LIMESTONE COMMUNITY CARE, INC |
NPI Number: | 1841384534 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WAYNE AUBREY JONES (OWNER) |
Mailing Address: | 25565 Levie Davis Drive Elkmont |
State: | AL US |
Postal Code: | 35620 |
Phone Number: | 2567323712 |
Fax Number: | 2567323714 |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 19353 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |