STACY BROADHEAD

TUSCALOOSA, AL
NPI1437355831
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
(Licence: AL  1563)
Enumeration Date2007-06-22
Last Update Date2007-07-08
Business Address
-- STACY BROADHEAD OTR
3024 12TH AVE E
TUSCALOOSA, AL 35405-2506
Phone number: 205-562-9658
Mailing Address
-- STACY BROADHEAD OTR
3024 12TH AVE E
TUSCALOOSA, AL 35405-2506
Phone number: 205-562-9658
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