| NPI | 1952855017 |
|---|---|
| Doing Business As | FAMILY CARE ON FORREST AVENUE |
| Entity Type | Organization |
| Authorized Contact | MELANIE DIANNE KILGO Co Owner 256-490-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AL 102i506781) |
| Enumeration Date | 2016-08-06 |
| Last Update Date | 2016-08-06 |