| Senior Therapeutic Health | |
|
126 Hospital Ave Ozark AL 36360-2018 | |
| (334) 774-2601 | |
| Not Available |
| Full Name | Senior Therapeutic Health |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 126 Hospital Ave, Ozark, Alabama |
| Authorized Official Name and Position | Vernon L Johnson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3347742601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Therapeutic Health 126 Hospital Ave Ozark AL 36360-2018 Ph: (334) 774-2601 | Senior Therapeutic Health 126 Hospital Ave Ozark AL 36360-2018 Ph: (334) 774-2601 |
| NPI Number | 1366511156 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 12/06/2007 |
| Medicare PECOS PAC ID | 3476466327 |
|---|---|
| Medicare Enrollment ID | O20111117000634 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366511156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 11793 (Alabama) | Primary |
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