Health Services Diversified, Inc. in Fairhope - Home Infusion Therapy Pharmacy
Health Services Diversified, Inc. - NPI 1124043963
Health Services Diversified, Inc. is a Home Infusion Therapy Pharmacy in Fairhope, Alabama. Health Services Diversified, Inc. practices all healthcare services and medical treatments related to Home Infusion Therapy Pharmacy. The NPI Number for Health Services Diversified, Inc. is 1124043963. The last update date is 2008-07-24.
Health Services Diversified, Inc.'s current location address is 104 Ecor Rouge Pl, Fairhope, Alabama. You can contact this provider via phone number 2519291017 and fax number 2519291018. The mailing address for Health Services Diversified, Inc. is 104 Ecor Rouge Pl, Fairhope, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Health Services Diversified, Inc. |
|---|---|
| Address | 104 Ecor Rouge Pl, Fairhope, Alabama |
| Phone Number | 2519291017 |
| Fax Number | 2519291018 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Silvio C. Jodi |
| Credentials | P.D. |
| Telephone Number | 2519291017 |
NPI Number Detail
| NPI Number | 1124043963 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2008-07-24 |
Provider Mailing Address Detail
| Address | 104 Ecor Rouge Pl |
|---|---|
| City | Fairhope |
| State | Alabama (AL) |
| Post Code | 365323062 |
| Phone Number | 2519291017 |
| Fax Number | 2519291018 |
Provider's Primary Taxonomy Detail
| Speciality | Home Infusion Therapy Pharmacy |
|---|---|
| Taxonomy | 3336H0001X |
| Licence No | 111749 |
|
Definition: Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100003187 | AL | -- | |
| 9938825 | AL | -- |
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What is the Health Services Diversified, Inc.'s unique identification number?
The Health Services Diversified, Inc. has been assigned the NPI (National Provider Identifier) Number 1124043963 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Health Services Diversified, Inc. located?
The Health Services Diversified, Inc. is located at 104 Ecor Rouge Pl, Fairhope, AL 365323062.
What is Health Services Diversified, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Health Services Diversified, Inc. is Home Infusion Therapy Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 3336H0001X.
When was the Health Services Diversified, Inc.'s 1124043963 issued?
The Health Services Diversified, Inc.'s 1124043963 was issued on 2006-07-13.
When was the Health Services Diversified, Inc.'s information last updated?
The Health Services Diversified, Inc.'s information was last updated on 2008-07-24.
NPI Number: 1215930425
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