Provider First Line Business Practice Location Address: 
1601 7TH ST. N
    Provider Second Line Business Practice Location Address: 
AMEDISYS HOME HEALTH
    Provider Business Practice Location Address City Name: 
CLANTON
    Provider Business Practice Location Address State Name: 
AL
    Provider Business Practice Location Address Postal Code: 
35045-1050
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
205-755-5509
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
05/21/2013