Healthcare Provider Details

I. General information

NPI: 1992370407
Provider Name (Legal Business Name): ABLE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2021
Last Update Date: 05/26/2021
Certification Date: 05/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

554 GOLSON RD EAST
FORT DEPOSIT AL
36032-4508
US

IV. Provider business mailing address

P.O BOX 464
FORT DEPOSIT AL
36032-4508
US

V. Phone/Fax

Practice location:
  • Phone: 334-227-4115
  • Fax: 334-227-4115
Mailing address:
  • Phone: 334-227-4115
  • Fax: 334-227-4115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. HERBERT LAMAR BARBER JR.
Title or Position: VICE PRESIDENT
Credential: RN, BSN
Phone: 334-617-6453