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OTHA FOSTER

>> Respite Care >> Respite Care Facility

Registrant NPI Number: 1598175424

Individual Registrant:
 OTHA  FOSTER 
Gender: M
Sole Proprietor

Location and contact information for practice:
4 MEADOWS APT  LIVINGSTON, AL 35470 US
Tel: 985-241-1875  Fax: --

Contact information for business:
4 MEADOWS APT  LIVINGSTON, AL 35470 US
Tel: 985-241-1875  Fax: --

Registration Information:
NPI: 1598175424
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y385H00000XRespite Care Facility
Respite Care
LA009196897

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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