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General NPI Number Information
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NPI Number | 1972021970
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Entity Type | Organization
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Legal Business Name | VOLUNTEERS OF AMERICA SOUTHEAST
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Dates
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Enumeration Date | 08/30/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1204 HILLCREST RD
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City | MOBILE
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State | AL
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Zip | 36695-3930
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Country | US
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Telephone | 251-300-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 1204 HILLCREST RD
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City | MOBILE
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State | AL
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Zip | 36695-3930
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Country | US
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Telephone | 251-300-3500
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Fax | 251-666-2836
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Authorized Official
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Title or Position | PRESIDENT
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Name | WALLACE DAVIS
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Credential |
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Telephone | 251-338-1252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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