NPI Provider: 1972509453
Contact Name: Williams M. Manuel
Position: Chief Executive Officer
Phone: (334) 263-4221
Resurrection Life Center Information:
Resurrection Life Center organization have npi 1972509453, taxonomy code is 314000000X with license number is in . This Business address located in 1240 County Road 39, Deatsville, AL 36022 Alabama.
Practice Location
Address: 1240 County Road 39, Deatsville, AL 36022
Phone: (334) 263-0618
Business Location
Address: 1240 County Road 39, Deatsville, AL 36022
Phone: (334) 263-0618
Fax: (334) 230-2056
Taxonomy
Taxonomy Code: 314000000X
License Number:
License Number of State: AL
Primary Taxonomy Switch: Y
Enumeration Date: 6/21/2005
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