UCHEE PINES LIFESTYLE CENTER NPI 1891798930

NPI Information

UCHEE PINES LIFESTYLE CENTER is a specialist in Seale, 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. UCHEE PINES LIFESTYLE CENTER NPI is 1891798930. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Anvwodi.

The provider's business location address is:

30 UCHEE PINES RD
LOT 75
SEALE, AL
ZIP 36875-726
Phone: (334) 855-4763
Fax: (334) 855-9014

The provider's authorized official is James Irwin Horsley .
The authorized official title is Medical Director and has the following contact phone number (334) 855-4764.

The CLIA number assigned to this NPI record is 01D0870902 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2005 and was last updated on 8/22/2020.

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:

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