- Enrollment id
- O20120412000524
- Enrollment state
- AL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1366478083
- Multiple npi flag
- N
- Ccn
- 017050
- Associate id
- 2668454802
- Organization name
- CENTRAL NORTH ALABAMA HEALTH SERVICES, INC.
- Doing business as name
- SPECTRUM HOME HEALTH AGENCY
- Incorporation date
- 1982-07-20
- Incorporation state
- AL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 1310 PULASKI PIKE
- City
- HUNTSVILLE
- State
- AL
- Zip code
- 358162528