Provider Demographics
NPI:1538668058
Name:BLUE FEATHER INC
Entity type:Organization
Organization Name:BLUE FEATHER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:E
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:256-772-5939
Mailing Address - Street 1:7734 MADISON BLVD STE 125
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-2382
Mailing Address - Country:US
Mailing Address - Phone:256-772-5939
Mailing Address - Fax:256-615-8770
Practice Address - Street 1:7734 MADISON BLVD STE 125
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-2382
Practice Address - Country:US
Practice Address - Phone:256-772-5939
Practice Address - Fax:256-615-8770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-10
Last Update Date:2018-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health