Provider Demographics
NPI:1447647318
Name:RAY LANE INC DBA HOME HELPERS
Entity type:Organization
Organization Name:RAY LANE INC DBA HOME HELPERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEOH
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:DUNNAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-306-1907
Mailing Address - Street 1:2820 COLUMBIANA RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35216-2589
Mailing Address - Country:US
Mailing Address - Phone:205-978-3809
Mailing Address - Fax:205-823-5374
Practice Address - Street 1:2820 COLUMBIANA RD
Practice Address - Street 2:SUITE 210
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216-2589
Practice Address - Country:US
Practice Address - Phone:205-978-3809
Practice Address - Fax:205-823-5374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-18
Last Update Date:2015-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL58649OtherHEALTHCARE PROVIDER ORGANIZATION