Healthcare Provider Details

I. General information

NPI: 1306982673
Provider Name (Legal Business Name): VOLUNTEERS OF AMERICA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 AZALEA RD
MOBILE AL
36609-1528
US

IV. Provider business mailing address

600 AZALEA RD
MOBILE AL
36609-1528
US

V. Phone/Fax

Practice location:
  • Phone: 251-666-4431
  • Fax: 251-661-1437
Mailing address:
  • Phone: 251-666-4431
  • Fax: 251-661-1437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: DR. WALLACE DAVIS
Title or Position: PRESIDENT
Credential:
Phone: 251-338-1251