Organization Name: | EASTER SEALS ALABAMA INC |
NPI Number: | 1003886235 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANNY C PRINCE (ADMINISTRATOR) |
Mailing Address: | 1450 Avalon Ave Muscle Shoals |
State: | AL US |
Postal Code: | 356613110 |
Phone Number: | 2563811110 |
Fax Number: | 2563145105 |
NPI Enumeration Date: | 01/23/2006 |
NPI Last Update Date: | 03/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | 10684 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |