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NPI Code Detail

MEDICARE: ALABAMA DEPARTMENT OF REHABILITATION SERVICES

MEDICARE: ALABAMA DEPARTMENT OF REHABILITATION SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1548320914
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALABAMA DEPARTMENT OF REHABILITATION SERVICES
Provider Business Mailing Address
First Line : 2129 E SOUTH BLVD
Second Line :
City : MONTGOMERY
State : AL
Zip : 36116-2409
Country : US
Telephone Number : 334-613-2200
Fax Number : 334-281-1973
Provider Business Practice Location Address
First Line : 2129 E SOUTH BLVD
Second Line :
City : MONTGOMERY
State : AL
Zip : 36116-2409
Country : US
Telephone Number : 334-613-2200
Fax Number : 334-281-1973
Authorized Official
Title or Position : COMMISSIONER
Name : MR. RUSSELL STEVEN SHIVERS
Credential :
Telephone Number : 334-613-2200
Provider Enumeration Date : 12/08/2006
Last Update Date : 08/22/2020

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Directions to “ALABAMA DEPARTMENT OF REHABILITATION SERVICES ” Practice Location

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