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Patty Stallworth, CEO
Private Vehicle in Mobile, Alabama
NPI 1851746010

Patty Stallworth is a Private Vehicle based in Mobile, AL. Patty Stallworth practices in Mobile, AL and has the professional credentials of CEO. The NPI Number for Patty Stallworth is 1851746010 and holds a License No. 347C00000X (Alabama).

The current practice location address for Patty Stallworth is 273 Azalea Rd Bldg 1, Mobile, AL and can be reached out via phone at 251-607-6327.

Location: 273 Azalea Rd Bldg 1, Mobile, AL, 36609-1970
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851746010
Provider Name
Patty Stallworth
Credential
CEO
Provider Entity Type
Individual
Gender
Female
Address
273 Azalea Rd Bldg 1, Mobile, AL, 36609-1970
Phone Number
251-607-6327
Fax Number
Provider Enumeration Date
04/25/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1326069964 01 VETERANS HOMEBOUND SERVICES
1679654966 01 VETERANS HOMEBOUND SERVICES
institution
Provider Business Practice Location Address Details
Address
273 Azalea Rd Bldg 1
City
Mobile
State
Alabama
Zip
36609-1970
Phone Number
251-607-6327
Fax Number
person
Provider Business Mailing Address Details
Address
273 Azalea Rd Bldg 1
City
Mobile
State
Alabama
Zip
36609-1970
Phone Number
251-607-6327
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
374U00000X (Alabama)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
347C00000X (Alabama)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
person
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
347C00000X (Alabama)
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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