Healthcare Provider Details

I. General information

NPI: 1346766235
Provider Name (Legal Business Name): AGING & DISABLED SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2017
Last Update Date: 08/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4122 QUAIL TOWER RD
LUVERNE AL
36049-6119
US

IV. Provider business mailing address

PO BOX 293
RUTLEDGE AL
36071-0293
US

V. Phone/Fax

Practice location:
  • Phone: 334-335-5522
  • Fax: 334-335-5522
Mailing address:
  • Phone: 334-335-5522
  • Fax: 334-335-5522

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: WANDA SUE ACREMAN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 334-335-5522