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Stacy Broadhead, OTR
Home Health Agency in Tuscaloosa, Alabama
NPI 1437355831

Stacy Broadhead is a Home Health Agency based in Tuscaloosa, AL. Stacy Broadhead practices in Tuscaloosa, AL and has the professional credentials of OTR. The NPI Number for Stacy Broadhead is 1437355831 and holds a License No. 1563 (Alabama).

The current practice location address for Stacy Broadhead is 3024 12Th Ave E, Tuscaloosa, AL and can be reached out via phone at 205-562-9658.

Location: 3024 12Th Ave E, Tuscaloosa, AL, 35405-2506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437355831
Provider Name
Stacy Broadhead
Credential
OTR
Provider Entity Type
Individual
Gender
Female
Address
3024 12Th Ave E, Tuscaloosa, AL, 35405-2506
Phone Number
205-562-9658
Fax Number
Provider Enumeration Date
06/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3024 12Th Ave E
City
Tuscaloosa
State
Alabama
Zip
35405-2506
Phone Number
205-562-9658
Fax Number
person
Provider Business Mailing Address Details
Address
3024 12Th Ave E
City
Tuscaloosa
State
Alabama
Zip
35405-2506
Phone Number
205-562-9658
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
1563 (Alabama)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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