| NPI | 1144905985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA TITRUD HEERSINK Medical Director 205-807-6482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2023-12-06 |