Provider Demographics
NPI:1073274072
Name:SOUTHEAST ALABAMA REGIONAL PLANNING AND DEVELOPMENT COMMISSION
Entity Type:Organization
Organization Name:SOUTHEAST ALABAMA REGIONAL PLANNING AND DEVELOPMENT COMMISSION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:S
Authorized Official - Last Name:FARMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-794-4093
Mailing Address - Street 1:PO BOX 1406
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36302-1406
Mailing Address - Country:US
Mailing Address - Phone:334-794-4093
Mailing Address - Fax:
Practice Address - Street 1:462 N OATES ST FL 4
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36303-4513
Practice Address - Country:US
Practice Address - Phone:334-794-4093
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-03
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347B00000XTransportation ServicesBus