Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Wound Care |
163WW0000X |
| NPI Number | 1891485181 |
| LBN Legal business name | PROFESSIONAL WOUND CARE SERVICES OF ALABAMA INC. |
| Authorized official | JORDAN MEANS - (COMPLIANCE OFFICER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/10/2023 |
| Last updated | 05/10/2023 - About 3 years ago |
| Identifiers | n/a |
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