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Kimyuatta A Spencer, RPT
Home Health Agency in Reform, Alabama
NPI 1760600308

Kimyuatta A Spencer is a Home Health Agency based in Northport, AL. Kimyuatta A Spencer practices in Reform, AL and has the professional credentials of RPT. The NPI Number for Kimyuatta A Spencer is 1760600308 and holds a License No. PTH3586 (Alabama).

The current practice location address for Kimyuatta A Spencer is 216 1St St S, Reform, AL and can be reached out via phone at 205-375-9255 and via fax at 205-375-9245.

Location: 216 1St St S, Reform, AL, 35475-4530
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760600308
Provider Name
Kimyuatta A Spencer
Credential
RPT
Provider Entity Type
Individual
Gender
Female
Address
216 1St St S, Reform, AL, 35475-4530
Phone Number
205-375-9255
Fax Number
205-375-9245
Provider Enumeration Date
04/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PTH3586 01 AL LICENSURE NUMBER
51532337 01 AL BCBS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
216 1St St S
City
Reform
State
Alabama
Zip
35481
Phone Number
205-375-9255
Fax Number
205-375-9245
person
Provider Business Mailing Address Details
Address
216 1St St S
City
Reform
State
Alabama
Zip
35481
Phone Number
205-375-9255
Fax Number
205-375-9245
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
PTH3586 (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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