EDNECIA FITZPATRICK, Respite Care TRUSSVILLE, AL

Contact Information

EDNECIA FITZPATRICK

6107 BROADWING RD
TRUSSVILLE, AL 35173-6314

Phone: 404-442-5001
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Respite Care	385H00000X
Driver	172A00000X
Home Health	251E00000X	A4[11]	Home Health Agency
Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center
Non-emergency Medical Transport (VAN)	343900000X
Nursing Home Administrator	376G00000X

Indicates primary specialty

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NPI Profile & details for EDNECIA FITZPATRICK · (Female)

NPI Number	`1205439841`
Status	Active
Credentials
Entity	Individual
Enumeration date	11/17/2020
Last updated	11/17/2020 - About 6 years ago
Sole proprietor ¹	Yes
Identifiers	AL Medicaid 85-1764905
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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