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HARTFORD REHAB AND WELNESS LLC NPI 1740457597


NPI Information

NPI: 1740457597
Provider Name: HARTFORD REHAB AND WELNESS, LLC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 01D2079802

Address:
102 S 4TH AVE
HARTFORD, AL
ZIP 36344
Phone: (334) 588-2323
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HARTFORD REHAB AND WELNESS, LLC is a specialist in Hartford, AL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. HARTFORD REHAB AND WELNESS, LLC NPI is 1740457597. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

102 S 4TH AVE
HARTFORD, AL
ZIP 36344-615
Phone: (334) 588-2323

The provider's authorized official is Deborah Lynn Brunson .
The authorized official title is Owner/manager and has the following contact phone number (334) 588-2323.

The CLIA number assigned to this NPI record is 01D2079802 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/12/2008 and was last updated on 5/12/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistPTA3669ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1515-46442OTHERALABAMABLUE BROSS BLUE SHEILD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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