01D0720147 CLIA NUMBER - DECATUR MORGAN HOMECARE HGA HOMECARE, LLC

Laboratory Demographics

  • Code: 01D0720147
  • Facility Name: DECATUR MORGAN HOMECARE HGA HOMECARE, LLC
  • Facility Address: 2708 HIGHWAY 31 SOUTH SUITE B
    DECATUR, AL
    ZIP 35603
  • Facility Phone: 256 350-4182
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • NPI Number: 1144409004
  • Taxonomy: 251E00000X - Home Health
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CLIA Record

Field Name Field Value
CLIA Number 01D0720147
LAB Type Home Health Agency
Facility Name DECATUR MORGAN HOMECARE HGA HOMECARE, LLC
Street 2708 HIGHWAY 31 SOUTH SUITE B
City DECATUR
State AL
ZIP 35603
Phone 256 350-4182
Certificate Type 4
Certificate Effective Date 9/1/2022
Certificate Expiration Date 8/31/2024
Facility Type Waiver

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This page was last updated on: 4/23/2024