Healthcare Provider Details
I. General information
NPI: 1477204964
Provider Name (Legal Business Name): ALL CLASS TRAINING & STAFFING AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/16/2022
Last Update Date: 01/22/2022
Certification Date: 01/19/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
315 GADSDEN HWY STE C2
BIRMINGHAM AL
35235-1085
US
IV. Provider business mailing address
315 GADSDEN HWY STE C2
BIRMINGHAM AL
35235-1085
US
V. Phone/Fax
- Phone: 58-925-2772
- Fax:
- Phone: 205-892-5277
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
DAVIDA
HUDSON
Title or Position: CEO
Credential: RN
Phone: 205-892-5277