Healthcare Provider Details

I. General information

NPI: 1033281480
Provider Name (Legal Business Name): R.H.O.C., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

946 22ND AVE E
TUSCALOOSA AL
35404-3012
US

IV. Provider business mailing address

946 22ND AVE E
TUSCALOOSA AL
35404-3012
US

V. Phone/Fax

Practice location:
  • Phone: 205-553-4653
  • Fax: 205-553-8133
Mailing address:
  • Phone: 205-553-4653
  • Fax: 205-553-8133

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: ALBERRY JAMES
Title or Position: QMRP
Credential:
Phone: 205-246-0123