Healthcare Provider Details

I. General information

NPI: 1083230817
Provider Name (Legal Business Name): SOUTH HIGHLAND ADULT DAY CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2020
Last Update Date: 06/17/2020
Certification Date: 06/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2035 HIGHLAND AVE S
BIRMINGHAM AL
35205-3801
US

IV. Provider business mailing address

2035 HIGHLAND AVE S
BIRMINGHAM AL
35205-3801
US

V. Phone/Fax

Practice location:
  • Phone: 205-933-2332
  • Fax: 205-933-7361
Mailing address:
  • Phone: 205-933-2332
  • Fax: 205-933-7361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. ALISON LEIGH WALKER
Title or Position: DIRECTOR
Credential:
Phone: 205-933-2332